The holder whose full name is FOSS, THERESA M,come from RICHMOND IN,hold the Health Facility Administrator license(NO.14002798A) which status is Expired.
| Name | FOSS, THERESA M |
|---|---|
| License Number | 14002798A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | RICHMOND |
| State | IN |