The holder whose full name is HOPPER, PHILIP LEO,come from OWENSVILLE IN,hold the Health Facility Administrator license(NO.14004111A) which status is Expired.
| Name | HOPPER, PHILIP LEO |
|---|---|
| License Number | 14004111A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | OWENSVILLE |
| State | IN |