The holder whose full name is KELLUM, BETHANN,come from BOWLING GREEN IN,hold the Health Facility Administrator license(NO.14003421A) which status is Expired.
| Name | KELLUM, BETHANN |
|---|---|
| License Number | 14003421A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BOWLING GREEN |
| State | IN |