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Name:
Lisa Nicole Nagabhushan
Certificate Status:
Active
Address:
8702 E. Brentmoor
Wichita, KS 67206-2406
Permit Status:
EXPIRED
Firm/Employer:
Discipline and/or Board Action:
NO
Certificate Issue Date:
11/26/2012
Certificate Number:
11600
Permit Number:
4526
Permit Issue/Renew Date:
07/01/2014
Permit Expiration Date:
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