The holder whose full name is SCARLETT, LUCILE E.,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14000714A) which status is Expired.
Name | SCARLETT, LUCILE E. |
---|---|
License Number | 14000714A |
License Type | Health Facility Administrator |
License Status | Expired |
City | FORT WAYNE |
State | IN |