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Name: Jack LaVerne Ingram Certificate Status: Active
Address: 6927 Grandview
Merriam, KS 66284-0000
Permit Status: EXPIRED
Firm/Employer: Discipline and/or Board Action: NO
Certificate Issue Date: 10/26/1979
Certificate Number: 3121
Permit Number:
Permit Issue/Renew Date: 12/18/1979
Permit Expiration Date: / /