The holder whose full name is GUMKOWSKI, IRENE B,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14001540A) which status is Expired.
| Name | GUMKOWSKI, IRENE B |
|---|---|
| License Number | 14001540A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |