The holder whose full name is RUSSELL, ROGER A,come from SEYMOUR IN,hold the Health Facility Administrator license(NO.14001033A) which status is Expired.
| Name | RUSSELL, ROGER A |
|---|---|
| License Number | 14001033A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SEYMOUR |
| State | IN |