The holder whose full name is WALKER, EVELYN GENTRY,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14000559A) which status is Expired.
Name | WALKER, EVELYN GENTRY |
---|---|
License Number | 14000559A |
License Type | Health Facility Administrator |
License Status | Expired |
City | SOUTH BEND |
State | IN |