The holder whose full name is SISAMIS, JAMES G,come from MERRILLVILLE IN,hold the Health Facility Administrator license(NO.14003067A) which status is Expired.
| Name | SISAMIS, JAMES G |
|---|---|
| License Number | 14003067A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |