The holder whose full name is Smith, Norma Jean,come from Rushville IN,hold the Health Facility Administrator license(NO.14003642A) which status is Revoked.
| Name | Smith, Norma Jean |
|---|---|
| License Number | 14003642A |
| License Type | Health Facility Administrator |
| License Status | Revoked |
| City | Rushville |
| State | IN |