The holder whose full name is McCormick, Charles W,come from Brownstown IN,hold the Health Facility Administrator license(NO.14002784A) which status is Expired.
| Name | McCormick, Charles W |
|---|---|
| License Number | 14002784A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Brownstown |
| State | IN |