The holder whose full name is COHEN, JAN Y,come from Granger IN,hold the Health Facility Administrator license(NO.14004399A) which status is Expired.
| Name | COHEN, JAN Y |
|---|---|
| License Number | 14004399A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Granger |
| State | IN |