The holder whose full name is GRISSEN, KENNETH RAY,come from NORTH TERRE HAUTE IN,hold the Health Facility Administrator license(NO.14001950A) which status is Expired.
| Name | GRISSEN, KENNETH RAY |
|---|---|
| License Number | 14001950A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | NORTH TERRE HAUTE |
| State | IN |