The holder whose full name is GIVEN, EDWARD YOUNG,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14002430A) which status is Expired.
| Name | GIVEN, EDWARD YOUNG |
|---|---|
| License Number | 14002430A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |