The holder whose full name is WALKER, IDA MILLER,come from GARY IN,hold the Health Facility Administrator license(NO.14000630A) which status is Expired.
| Name | WALKER, IDA MILLER |
|---|---|
| License Number | 14000630A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GARY |
| State | IN |