The holder whose full name is DOUB, MARILYN S,come from BLOOMINGTON IN,hold the Health Facility Administrator license(NO.14000658A) which status is Expired.
| Name | DOUB, MARILYN S |
|---|---|
| License Number | 14000658A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |