The holder whose full name is WAGGONER, DONALD G,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14000203A) which status is Expired.
| Name | WAGGONER, DONALD G |
|---|---|
| License Number | 14000203A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |