The holder whose full name is FREY, KENNETH W,come from FOUNTAINTOWN IN,hold the Health Facility Administrator license(NO.14000663A) which status is Expired.
| Name | FREY, KENNETH W |
|---|---|
| License Number | 14000663A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | FOUNTAINTOWN |
| State | IN |