The holder whose full name is Ingram, David L,come from Logansport IN,hold the Health Facility Administrator license(NO.14000147A) which status is Inactive/Expired.
Name | Ingram, David L |
---|---|
License Number | 14000147A |
License Type | Health Facility Administrator |
License Status | Inactive/Expired |
City | Logansport |
State | IN |