The holder whose full name is GEPHART, JAMES R,come from LADOGA IN,hold the Health Facility Administrator license(NO.14000129A) which status is Expired.
| Name | GEPHART, JAMES R |
|---|---|
| License Number | 14000129A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LADOGA |
| State | IN |