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Name: Qun Fang Certificate Status: Active
Address: 16621 W. 139th, #412
Olathe, KS 66062-0000
Permit Status:
Firm/Employer: Discipline and/or Board Action: NO
Certificate Issue Date: 05/23/1997
Certificate Number: 8164
Permit Number:
Permit Issue/Renew Date: / /
Permit Expiration Date: / /