The holder whose full name is KING, FORREST R,come from MUNCIE IN,hold the Health Facility Administrator license(NO.14000894A) which status is Expired.
| Name | KING, FORREST R |
|---|---|
| License Number | 14000894A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MUNCIE |
| State | IN |