The holder whose full name is FOWLER, GERALD DWAIN,come from Richardson TX,hold the Health Facility Administrator license(NO.14003406A) which status is Expired.
| Name | FOWLER, GERALD DWAIN |
|---|---|
| License Number | 14003406A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Richardson |
| State | TX |