The holder whose full name is ROBERTS, PHILLIP E,come from Vincennes IN,hold the Health Facility Administrator license(NO.14000710A) which status is Expired.
| Name | ROBERTS, PHILLIP E |
|---|---|
| License Number | 14000710A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Vincennes |
| State | IN |