The holder whose full name is POLICKY, LEROY A,come from ELIZABETHTON TN,hold the Health Facility Administrator license(NO.14000042A) which status is Expired.
| Name | POLICKY, LEROY A |
|---|---|
| License Number | 14000042A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | ELIZABETHTON |
| State | TN |