The holder whose full name is GRACE, PATRICIA ANN,come from PLYMOUTH IN,hold the Health Facility Administrator license(NO.14003528A) which status is Expired.
| Name | GRACE, PATRICIA ANN |
|---|---|
| License Number | 14003528A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | PLYMOUTH |
| State | IN |