The holder whose full name is MIKLIUS, VYTAUTAS JOHN,come from CEDAR LAKE IN,hold the Health Facility Administrator license(NO.14002928A) which status is Expired.
| Name | MIKLIUS, VYTAUTAS JOHN |
|---|---|
| License Number | 14002928A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | CEDAR LAKE |
| State | IN |