The holder whose full name is PETERSON, MARK ALLEN,come from KENDALLVILLE IN,hold the Health Facility Administrator license(NO.14002397A) which status is Expired.
| Name | PETERSON, MARK ALLEN |
|---|---|
| License Number | 14002397A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |