The holder whose full name is GANTON, KEVIN JAY,come from TERRE HAUTE IN,hold the Health Facility Administrator license(NO.14002992A) which status is Expired.
| Name | GANTON, KEVIN JAY |
|---|---|
| License Number | 14002992A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |