The holder whose full name is Gentry, Holly Amber,come from Grabill IN,hold the Health Facility Administrator license(NO.14004895A) which status is Active.
| Name | Gentry, Holly Amber |
|---|---|
| License Number | 14004895A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Grabill |
| State | IN |