The holder whose full name is MC ILWAIN, NAOMI M,come from WABASH IN,hold the Health Facility Administrator license(NO.14001276A) which status is Expired.
| Name | MC ILWAIN, NAOMI M |
|---|---|
| License Number | 14001276A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WABASH |
| State | IN |