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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