The holder whose full name is Paino, Timothy D.,come from Avon IN,hold the Health Facility Administrator license(NO.14001454A) which status is Expired.
| Name | Paino, Timothy D. |
|---|---|
| License Number | 14001454A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Avon |
| State | IN |