The holder whose full name is SMITH, FRED JR,come from TELL CITY IN,hold the Health Facility Administrator license(NO.14000798A) which status is Expired.
| Name | SMITH, FRED JR |
|---|---|
| License Number | 14000798A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | TELL CITY |
| State | IN |