The holder whose full name is JOHNSON, GARY LEE,come from SHOREWOOD IL,hold the Health Facility Administrator license(NO.14003234A) which status is Expired.
| Name | JOHNSON, GARY LEE |
|---|---|
| License Number | 14003234A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SHOREWOOD |
| State | IL |