The holder whose full name is DEHAVEN, ERNEST T,come from DES MOINES IA,hold the Health Facility Administrator license(NO.14001879A) which status is Expired.
| Name | DEHAVEN, ERNEST T |
|---|---|
| License Number | 14001879A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | DES MOINES |
| State | IA |