The holder whose full name is PAYNE, JOSEPH R JR,come from NEWBURGH IN,hold the Health Facility Administrator license(NO.14001710A) which status is Expired.
| Name | PAYNE, JOSEPH R JR |
|---|---|
| License Number | 14001710A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | NEWBURGH |
| State | IN |