The holder whose full name is James, Walter Ray Scott,come from Rensselaer IN,hold the Health Facility Administrator license(NO.14002501A) which status is Active.
| Name | James, Walter Ray Scott |
|---|---|
| License Number | 14002501A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Rensselaer |
| State | IN |