The holder whose full name is Keaton, John D.,come from Henryville IN,hold the Health Facility Administrator license(NO.14004932A) which status is Active.
| Name | Keaton, John D. |
|---|---|
| License Number | 14004932A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Henryville |
| State | IN |