The holder whose full name is GREEN, CHARLSIE WAGNER,come from COLUMBIA CITY IN,hold the CSR-Veterinarian license(NO.24004244B) which status is Expired.
| Name | GREEN, CHARLSIE WAGNER |
|---|---|
| License Number | 24004244B |
| License Type | CSR-Veterinarian |
| License Status | Expired |
| City | COLUMBIA CITY |
| State | IN |