The holder whose full name is FALDER, LARRIE L,come from WABASH IN,hold the Health Facility Administrator license(NO.14001469A) which status is Expired.
| Name | FALDER, LARRIE L |
|---|---|
| License Number | 14001469A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WABASH |
| State | IN |