The holder whose full name is SHAFTER, RALPH EDWARD,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14001937A) which status is Expired.
| Name | SHAFTER, RALPH EDWARD |
|---|---|
| License Number | 14001937A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |