The holder whose full name is HARRIS, PHILLIP P,come from DALEVILLE IN,hold the Health Facility Administrator license(NO.14002809A) which status is Expired.
| Name | HARRIS, PHILLIP P |
|---|---|
| License Number | 14002809A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | DALEVILLE |
| State | IN |