The holder whose full name is JOHNSON, CHARLES H,come from BEDFORD IN,hold the Health Facility Administrator license(NO.14001245A) which status is Expired.
| Name | JOHNSON, CHARLES H |
|---|---|
| License Number | 14001245A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BEDFORD |
| State | IN |