The holder whose full name is Boykin, Clarence E,come from Homewood IL,hold the Health Facility Administrator license(NO.14004648A) which status is Active.
| Name | Boykin, Clarence E |
|---|---|
| License Number | 14004648A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Homewood |
| State | IL |