The holder whose full name is Kosiak, Jon George,come from Bowdle SD,hold the Health Facility Administrator license(NO.14004205A) which status is Expired.
| Name | Kosiak, Jon George |
|---|---|
| License Number | 14004205A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Bowdle |
| State | SD |