The holder whose full name is Wade, Nicole D,come from Loogootee IN,hold the Health Facility Administrator license(NO.14004032A) which status is Inactive.
| Name | Wade, Nicole D |
|---|---|
| License Number | 14004032A |
| License Type | Health Facility Administrator |
| License Status | Inactive |
| City | Loogootee |
| State | IN |