The holder whose full name is HAAN, CHARLES L,come from WEST LAFAYETTE IN,hold the Health Facility Administrator license(NO.14000378A) which status is Expired.
| Name | HAAN, CHARLES L |
|---|---|
| License Number | 14000378A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |