The holder whose full name is DE KONINCK, PAMELA SUE,come from AUBURN IN,hold the Health Facility Administrator license(NO.14002729A) which status is Expired.
Name | DE KONINCK, PAMELA SUE |
---|---|
License Number | 14002729A |
License Type | Health Facility Administrator |
License Status | Expired |
City | AUBURN |
State | IN |