The holder whose full name is PARHAM, AVAHNELLE C,come from BEDFORD IN,hold the Health Facility Administrator license(NO.14000472A) which status is Expired.
| Name | PARHAM, AVAHNELLE C |
|---|---|
| License Number | 14000472A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BEDFORD |
| State | IN |