The holder whose full name is Chambers Dougald, Kathleen,come from Fort Wayne IN,hold the Health Facility Administrator license(NO.14003495A) which status is Expired.
| Name | Chambers Dougald, Kathleen |
|---|---|
| License Number | 14003495A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |