The holder whose full name is ROOT, JEANNINE A,come from PLAINFIELD IN,hold the Health Facility Administrator license(NO.14002250A) which status is Expired.
| Name | ROOT, JEANNINE A |
|---|---|
| License Number | 14002250A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |