The holder whose full name is BLAKEMORE, TENA K,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14002166A) which status is Expired.
| Name | BLAKEMORE, TENA K |
|---|---|
| License Number | 14002166A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |