The holder whose full name is DAVENPORT, WILMA T,come from WARSAW IN,hold the Health Facility Administrator license(NO.14000303A) which status is Expired.
| Name | DAVENPORT, WILMA T |
|---|---|
| License Number | 14000303A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WARSAW |
| State | IN |