The holder whose full name is MORT, KEVIN DUANE,come from TAMPA FL,hold the Health Facility Administrator license(NO.14001543A) which status is Expired.
| Name | MORT, KEVIN DUANE |
|---|---|
| License Number | 14001543A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | TAMPA |
| State | FL |