The holder whose full name is Fennimore, Michele Therese,come from Upland IN,hold the Health Facility Administrator license(NO.14003735A) which status is Expired.
| Name | Fennimore, Michele Therese |
|---|---|
| License Number | 14003735A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Upland |
| State | IN |