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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:
/ /