The holder whose full name is DYER, ROGER DAVID,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14002642A) which status is Expired.
| Name | DYER, ROGER DAVID |
|---|---|
| License Number | 14002642A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |