The holder whose full name is BIRD, JULIE ANNE,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14003473A) which status is Expired.
| Name | BIRD, JULIE ANNE |
|---|---|
| License Number | 14003473A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |