The holder whose full name is WELLER, AMANTHA D E,come from SALEM IN,hold the Health Facility Administrator license(NO.14004146A) which status is Expired.
| Name | WELLER, AMANTHA D E |
|---|---|
| License Number | 14004146A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SALEM |
| State | IN |