The holder whose full name is MILLER, LAVINA,come from GOSHEN IN,hold the Health Facility Administrator license(NO.14002537A) which status is Expired.
| Name | MILLER, LAVINA |
|---|---|
| License Number | 14002537A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GOSHEN |
| State | IN |