The holder whose full name is Latta, Jonathan Douglas,come from Danville IN,hold the Health Facility Administrator license(NO.14004995A) which status is Expired.
| Name | Latta, Jonathan Douglas |
|---|---|
| License Number | 14004995A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Danville |
| State | IN |