The holder whose full name is MININGER, KENNETH JOEL,come from GOSHEN IN,hold the Health Facility Administrator license(NO.14002807A) which status is Expired.
| Name | MININGER, KENNETH JOEL |
|---|---|
| License Number | 14002807A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GOSHEN |
| State | IN |