The holder whose full name is WALTZ, MARTHA J,come from SHELBYVILLE IN,hold the Health Facility Administrator license(NO.14001658A) which status is Expired.
| Name | WALTZ, MARTHA J |
|---|---|
| License Number | 14001658A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SHELBYVILLE |
| State | IN |