The holder whose full name is WILLIAM, NANCY ANN,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14002141A) which status is Expired.
| Name | WILLIAM, NANCY ANN |
|---|---|
| License Number | 14002141A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |