The holder whose full name is Cantrell, Marissa A.,come from Fort Wayne IN,hold the Health Facility Administrator license(NO.14005157A) which status is Expired.
| Name | Cantrell, Marissa A. |
|---|---|
| License Number | 14005157A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |