The holder whose full name is SMITH, DAVID RONALD,come from LOOGOOTEE IN,hold the Health Facility Administrator license(NO.14003341A) which status is Expired.
| Name | SMITH, DAVID RONALD |
|---|---|
| License Number | 14003341A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LOOGOOTEE |
| State | IN |