The holder whose full name is Rose, John Augustus,come from Greenwood IN,hold the Health Facility Administrator license(NO.14004916A) which status is Inactive/Expired.
| Name | Rose, John Augustus |
|---|---|
| License Number | 14004916A |
| License Type | Health Facility Administrator |
| License Status | Inactive/Expired |
| City | Greenwood |
| State | IN |