The holder whose full name is ANTRIM, RICHARD T,come from DUNKIRK IN,hold the Health Facility Administrator license(NO.14000825A) which status is Expired.
| Name | ANTRIM, RICHARD T |
|---|---|
| License Number | 14000825A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | DUNKIRK |
| State | IN |