The holder whose full name is GIRDWOOD, WILFRED J.,come from MISHAWAKA IN,hold the Health Facility Administrator license(NO.14001692A) which status is Expired.
Name | GIRDWOOD, WILFRED J. |
---|---|
License Number | 14001692A |
License Type | Health Facility Administrator |
License Status | Expired |
City | MISHAWAKA |
State | IN |