The holder whose full name is CARR, BRIAN D,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14002169A) which status is Active.
| Name | CARR, BRIAN D |
|---|---|
| License Number | 14002169A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |