The holder whose full name is CROUSE, CHARLES EDWARD JR,come from GREENWOOD IN,hold the Health Facility Administrator license(NO.14002346A) which status is Expired.
| Name | CROUSE, CHARLES EDWARD JR |
|---|---|
| License Number | 14002346A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GREENWOOD |
| State | IN |