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Name:
Camilla L. Wagner
Certificate Status:
Active
Address:
1417 E. 15th #7
Lawrence, KS 66044-0000
Permit Status:
EXPIRED
Firm/Employer:
Discipline and/or Board Action:
NO
Certificate Issue Date:
12/20/1977
Certificate Number:
2733
Permit Number:
Permit Issue/Renew Date:
06/10/1981
Permit Expiration Date:
06/30/1983