The holder whose full name is OUDING, JEROME HENRY,come from Mishawaka IN,hold the Health Facility Administrator license(NO.14002769A) which status is Expired.
| Name | OUDING, JEROME HENRY |
|---|---|
| License Number | 14002769A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Mishawaka |
| State | IN |