The holder whose full name is Harville, Jerrell J.,come from Granger IN,hold the Health Facility Administrator license(NO.14005189A) which status is Active.
| Name | Harville, Jerrell J. |
|---|---|
| License Number | 14005189A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Granger |
| State | IN |