The holder whose full name is ERICKSON, HUGO O.,come from MISHAWAKA IN,hold the Health Facility Administrator license(NO.14000119A) which status is Expired.
| Name | ERICKSON, HUGO O. |
|---|---|
| License Number | 14000119A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |