The holder whose full name is SCOTT, BOBBY RANDALL,come from ANGOLA IN,hold the Health Facility Administrator license(NO.14002486A) which status is Expired.
| Name | SCOTT, BOBBY RANDALL |
|---|---|
| License Number | 14002486A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | ANGOLA |
| State | IN |