The holder whose full name is OTT, JEFFREY LEE,come from ELKHART IN,hold the Health Facility Administrator license(NO.14002365A) which status is Expired.
| Name | OTT, JEFFREY LEE |
|---|---|
| License Number | 14002365A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | ELKHART |
| State | IN |