The holder whose full name is WHITE, MELVIN RICHARD,come from BOONVILLE IN,hold the Health Facility Administrator license(NO.14000729A) which status is Expired.
| Name | WHITE, MELVIN RICHARD |
|---|---|
| License Number | 14000729A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BOONVILLE |
| State | IN |