The holder whose full name is Johnson, Kathleen Adell,come from Shelbyville IN,hold the Health Facility Administrator license(NO.14004920A) which status is Expired.
| Name | Johnson, Kathleen Adell |
|---|---|
| License Number | 14004920A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Shelbyville |
| State | IN |