The holder whose full name is CORNELL, JERRY B,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14002689A) which status is Expired.
| Name | CORNELL, JERRY B |
|---|---|
| License Number | 14002689A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |