The holder whose full name is KENNEY, PAUL CHARLES,come from WEST LAFAYETTE IN,hold the Health Facility Administrator license(NO.14001951A) which status is Expired.
| Name | KENNEY, PAUL CHARLES |
|---|---|
| License Number | 14001951A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |