The holder whose full name is NEUDECK, MARIELLEN,come from WEST LAFAYETTE IN,hold the Health Facility Administrator license(NO.14002881A) which status is Expired.
| Name | NEUDECK, MARIELLEN |
|---|---|
| License Number | 14002881A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |