The holder whose full name is Fallen, Timothy Ryan,come from Evansville IN,hold the Health Facility Administrator license(NO.14004133A) which status is Expired.
| Name | Fallen, Timothy Ryan |
|---|---|
| License Number | 14004133A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Evansville |
| State | IN |