The holder whose full name is WILDMAN, MARY LOUISE,come from Williamsport IN,hold the Health Facility Administrator license(NO.14004006A) which status is Expired.
| Name | WILDMAN, MARY LOUISE |
|---|---|
| License Number | 14004006A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Williamsport |
| State | IN |