The holder whose full name is BAULT, RICHARD,come from LOGANSPORT IN,hold the Qualified Medication Aide license(NO.QMA8200039) which status is Active.
| Name | BAULT, RICHARD |
|---|---|
| License Number | QMA8200039 |
| License Type | Qualified Medication Aide |
| License Status | Active |
| City | LOGANSPORT |
| State | IN |