The holder whose full name is MOORE, DAVID CARROLL,come from BLOOMINGTON IN,hold the Health Facility Administrator license(NO.14003076A) which status is Expired.
| Name | MOORE, DAVID CARROLL |
|---|---|
| License Number | 14003076A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |