The holder whose full name is KNISH, WALTER M.,come from VALPARAISO IN,hold the Health Facility Administrator license(NO.14004348A) which status is Expired.
Name | KNISH, WALTER M. |
---|---|
License Number | 14004348A |
License Type | Health Facility Administrator |
License Status | Expired |
City | VALPARAISO |
State | IN |