The holder whose full name is Bingham, Bart Matthew,come from Elwood IN,hold the Health Facility Administrator license(NO.14001869A) which status is Expired.
| Name | Bingham, Bart Matthew |
|---|---|
| License Number | 14001869A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Elwood |
| State | IN |