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Name: Dale H. Wagner Certificate Status: Active
Address: 2703 28th
Great Bend, KS 67530-0000
Permit Status: EXPIRED
Firm/Employer: Discipline and/or Board Action: NO
Certificate Issue Date: 08/09/1985
Certificate Number: 4916
Permit Number:
Permit Issue/Renew Date: 07/19/1990
Permit Expiration Date: / /