The holder whose full name is RAVELLETTE, HOWARD E,come from MADISON OH,hold the Health Facility Administrator license(NO.14003554A) which status is Expired.
| Name | RAVELLETTE, HOWARD E |
|---|---|
| License Number | 14003554A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MADISON |
| State | OH |