The holder whose full name is PIANTEDOSI, MARCELLA M,come from SHELBURN IN,hold the Health Facility Administrator license(NO.14004075A) which status is Expired.
| Name | PIANTEDOSI, MARCELLA M |
|---|---|
| License Number | 14004075A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SHELBURN |
| State | IN |