The holder whose full name is Miles, Ellave,come from Shelbyville IN,hold the Health Facility Administrator license(NO.14002980A) which status is Expired.
| Name | Miles, Ellave |
|---|---|
| License Number | 14002980A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Shelbyville |
| State | IN |