The holder whose full name is KING, TEQUILA,come from GARY IN,hold the Home Health Aide license(NO.HHA0902713) which status is Active.
| Name | KING, TEQUILA |
|---|---|
| License Number | HHA0902713 |
| License Type | Home Health Aide |
| License Status | Active |
| City | GARY |
| State | IN |