The holder whose full name is RASKIN, CARL,come from LAKE STATION IN,hold the Health Facility Administrator license(NO.14001043A) which status is Expired.
| Name | RASKIN, CARL |
|---|---|
| License Number | 14001043A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LAKE STATION |
| State | IN |