The holder whose full name is BEACH, NANCY MAE,come from Crawfordsville IN,hold the Health Facility Administrator license(NO.14001966A) which status is Expired.
| Name | BEACH, NANCY MAE |
|---|---|
| License Number | 14001966A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Crawfordsville |
| State | IN |