The holder whose full name is BURRIS, TARA JO,come from BELLEFONTAINE OH,hold the Health Facility Administrator license(NO.14003951A) which status is Expired.
| Name | BURRIS, TARA JO |
|---|---|
| License Number | 14003951A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BELLEFONTAINE |
| State | OH |