Charlotte Sue Wagoner
Health Facility Admin Board - Preceptor Eligible
Indiana 15900141A Active
This Indiana license is held by Charlotte Sue Wagoner. The license is currently active. It was granted on 04/29/2014 and expired on 06/16/2015
LICENSE DETAILS
- License Number: 15900141A
- Category: Preceptor Eligible
- Status: Active
- Date Granted: 04/29/2014 (almost 11 years ago)
- Expiry Date: 06/16/2015 (almost 10 years ago)
LOCATIONS
A Address
Loogootee IN 47553
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