The holder whose full name is IVES, JODI ELLEN,come from VALPARAISO IN,hold the Health Facility Administrator license(NO.14004009A) which status is Expired.
| Name | IVES, JODI ELLEN |
|---|---|
| License Number | 14004009A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | VALPARAISO |
| State | IN |