The holder whose full name is MC ILWAIN, JOAN VIRGINIA,come from LAFAYETTE IN,hold the Health Facility Administrator license(NO.14001515A) which status is Expired.
| Name | MC ILWAIN, JOAN VIRGINIA |
|---|---|
| License Number | 14001515A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |