The holder whose full name is Thomas, Antonio A,come from Wichita KS,hold the Health Facility Administrator license(NO.14004702A) which status is Expired.
| Name | Thomas, Antonio A |
|---|---|
| License Number | 14004702A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Wichita |
| State | KS |