The holder whose full name is DECKER, ROBERT S,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14002206A) which status is Inactive.
| Name | DECKER, ROBERT S |
|---|---|
| License Number | 14002206A |
| License Type | Health Facility Administrator |
| License Status | Inactive |
| City | INDIANAPOLIS |
| State | IN |