The holder whose full name is Fenol, Mary Josephine Ann,come from Floyds Knobs IN,hold the Health Facility Administrator license(NO.14004793A) which status is Expired.
| Name | Fenol, Mary Josephine Ann |
|---|---|
| License Number | 14004793A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Floyds Knobs |
| State | IN |