The holder whose full name is KENYON, DANIEL ANTHONY,come from Avon IN,hold the Health Facility Administrator license(NO.14004531A) which status is Active.
| Name | KENYON, DANIEL ANTHONY |
|---|---|
| License Number | 14004531A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Avon |
| State | IN |