The holder whose full name is Burlison, Peggy Rae,come from Terre Haute IN,hold the Health Facility Administrator license(NO.14004221A) which status is Active.
| Name | Burlison, Peggy Rae |
|---|---|
| License Number | 14004221A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Terre Haute |
| State | IN |