The holder whose full name is JOB, ELVIN L,come from POLAND IN,hold the Health Facility Administrator license(NO.14000604A) which status is Expired.
| Name | JOB, ELVIN L |
|---|---|
| License Number | 14000604A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | POLAND |
| State | IN |