The holder whose full name is JENSEN, LOIS IRENE,come from JASONVILLE IN,hold the Health Facility Administrator license(NO.14002625A) which status is Expired.
| Name | JENSEN, LOIS IRENE |
|---|---|
| License Number | 14002625A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | JASONVILLE |
| State | IN |