The holder whose full name is LIU, SALLY RANIAK,come from GRANGER IN,hold the Health Facility Administrator license(NO.14003103A) which status is Expired.
| Name | LIU, SALLY RANIAK |
|---|---|
| License Number | 14003103A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GRANGER |
| State | IN |