The holder whose full name is GOODPASTER, BERNARD L,come from MARION IN,hold the Health Facility Administrator license(NO.14002155A) which status is Expired.
| Name | GOODPASTER, BERNARD L |
|---|---|
| License Number | 14002155A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MARION |
| State | IN |