The holder whose full name is DeSmidt, Gary A,come from North Liberty IA,hold the Health Facility Administrator license(NO.14004830A) which status is Expired.
| Name | DeSmidt, Gary A |
|---|---|
| License Number | 14004830A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | North Liberty |
| State | IA |