The holder whose full name is WISNIEWSKI, DOLORES MARIE,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14001803A) which status is Expired.
Name | WISNIEWSKI, DOLORES MARIE |
---|---|
License Number | 14001803A |
License Type | Health Facility Administrator |
License Status | Expired |
City | SOUTH BEND |
State | IN |