The holder whose full name is Haack, Kenneth Lee,come from Schererville IN,hold the Health Facility Administrator license(NO.14004673A) which status is Expired.
| Name | Haack, Kenneth Lee |
|---|---|
| License Number | 14004673A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Schererville |
| State | IN |