The holder whose full name is SEIFFERTT, KENNETH W,come from HARTFORD CITY IN,hold the Health Facility Administrator license(NO.14002552A) which status is Expired.
Name | SEIFFERTT, KENNETH W |
---|---|
License Number | 14002552A |
License Type | Health Facility Administrator |
License Status | Expired |
City | HARTFORD CITY |
State | IN |