The holder whose full name is NEGANGARD, PHYLLIS B,come from OSGOOD IN,hold the Health Facility Administrator license(NO.14000463A) which status is Expired.
| Name | NEGANGARD, PHYLLIS B |
|---|---|
| License Number | 14000463A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | OSGOOD |
| State | IN |