The holder whose full name is Dolezal, Daniel Edward,come from Winamac IN,hold the Health Facility Administrator license(NO.14002953A) which status is Expired.
| Name | Dolezal, Daniel Edward |
|---|---|
| License Number | 14002953A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Winamac |
| State | IN |