The holder whose full name is Wagoner, Charlotte Sue,come from Loogootee IN,hold the Health Facility Administrator license(NO.14003634A) which status is Active.
| Name | Wagoner, Charlotte Sue |
|---|---|
| License Number | 14003634A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Loogootee |
| State | IN |