The holder whose full name is Diersing, Larry A.llen,come from Bloomington IN,hold the Health Facility Administrator license(NO.14005055A) which status is Active.
| Name | Diersing, Larry A.llen |
|---|---|
| License Number | 14005055A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Bloomington |
| State | IN |