Charlotte Sue Wagoner
Health Facility Administrator Preceptor
Indiana 15900141B Active
This Indiana license is held by Charlotte Sue Wagoner. The license is currently active. It was granted on 05/23/2014 and expired on 05/23/2015
LICENSE DETAILS
- License Number: 15900141B
- Category: HFA Preceptor
- Status: Active
- Date Granted: 05/23/2014 (almost 11 years ago)
- Expiry Date: 05/23/2015 (almost 10 years ago)
LOCATIONS
A Address
Loogootee IN 47553
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