The holder whose full name is PARKS, LARRY E,come from MUNCIE IN,hold the Health Facility Administrator license(NO.14003535A) which status is Expired.
| Name | PARKS, LARRY E |
|---|---|
| License Number | 14003535A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MUNCIE |
| State | IN |