The holder whose full name is STAGNER, HAROLD WAYNE,come from PLAINFIELD IN,hold the Health Facility Administrator license(NO.14002313A) which status is Expired.
| Name | STAGNER, HAROLD WAYNE |
|---|---|
| License Number | 14002313A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |