The holder whose full name is POLOMSKEY, DELORES J,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14001384A) which status is Expired.
| Name | POLOMSKEY, DELORES J |
|---|---|
| License Number | 14001384A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |