The holder whose full name is HATHAWAY, PATRICIA E.,come from LAPAZ IN,hold the Health Facility Administrator license(NO.14000596A) which status is Expired.
| Name | HATHAWAY, PATRICIA E. |
|---|---|
| License Number | 14000596A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LAPAZ |
| State | IN |