The holder whose full name is GOEGLEIN, JEANNE C,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14001883A) which status is Expired.
Name | GOEGLEIN, JEANNE C |
---|---|
License Number | 14001883A |
License Type | Health Facility Administrator |
License Status | Expired |
City | FORT WAYNE |
State | IN |