The holder whose full name is BREITENBACH, ANN LOUISE,come from MADISON IN,hold the Health Facility Administrator license(NO.14000272A) which status is Expired.
| Name | BREITENBACH, ANN LOUISE |
|---|---|
| License Number | 14000272A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MADISON |
| State | IN |