The holder whose full name is Ott, Paul Duane,come from Gas City IN,hold the Health Facility Administrator license(NO.14004125A) which status is Active.
| Name | Ott, Paul Duane |
|---|---|
| License Number | 14004125A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Gas City |
| State | IN |