The holder whose full name is RAY, GRANT RODNEY,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14003095A) which status is Expired.
| Name | RAY, GRANT RODNEY |
|---|---|
| License Number | 14003095A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |