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Name:
Jack LaVerne Ingram
Certificate Status:
Active
Address:
6927 Grandview
Merriam, KS 66284-0000
Permit Status:
EXPIRED
Firm/Employer:
Discipline and/or Board Action:
NO
Certificate Issue Date:
10/26/1979
Certificate Number:
3121
Permit Number:
Permit Issue/Renew Date:
12/18/1979
Permit Expiration Date:
/ /