The holder whose full name is KUC, EDWARD,come from MICHIGAN CITY IN,hold the Health Facility Administrator license(NO.14000869A) which status is Expired.
| Name | KUC, EDWARD |
|---|---|
| License Number | 14000869A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |