The holder whose full name is Lack, Justin,come from La Porte IN,hold the Home Health Aide license(NO.HHA0801717) which status is Expired.
| Name | Lack, Justin |
|---|---|
| License Number | HHA0801717 |
| License Type | Home Health Aide |
| License Status | Expired |
| City | La Porte |
| State | IN |