The holder whose full name is GILLGRIST, THEODORE J,come from MARS PA,hold the Health Facility Administrator license(NO.14003996A) which status is Expired.
| Name | GILLGRIST, THEODORE J |
|---|---|
| License Number | 14003996A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MARS |
| State | PA |