The holder whose full name is Wagner, Lodene,come from Fort Wayne IN,hold the HFA Preceptor license(NO.15900065B) which status is Expired.
| Name | Wagner, Lodene |
|---|---|
| License Number | 15900065B |
| License Type | HFA Preceptor |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |