The holder whose full name is COLBY, JUDITH JEFFERSON,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14002987A) which status is Expired.
| Name | COLBY, JUDITH JEFFERSON |
|---|---|
| License Number | 14002987A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |