The holder whose full name is HENDERSON, ELVIA M,come from MONROVIA IN,hold the Health Facility Administrator license(NO.14000746A) which status is Expired.
| Name | HENDERSON, ELVIA M |
|---|---|
| License Number | 14000746A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MONROVIA |
| State | IN |