The holder whose full name is Dzwonar, Joseph Stephen,come from La Porte IN,hold the Health Facility Administrator license(NO.14002782A) which status is Active.
| Name | Dzwonar, Joseph Stephen |
|---|---|
| License Number | 14002782A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | La Porte |
| State | IN |