The holder whose full name is HEADLEY, KATHY LYNN,come from BLOOMINGTON IN,hold the Health Facility Administrator license(NO.14003279A) which status is Expired.
| Name | HEADLEY, KATHY LYNN |
|---|---|
| License Number | 14003279A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |