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Name: Sarah J. Salem Certificate Status: Active
Address: 428 NE 200 Road
Ellinwood, KS 67526-0000
Permit Status: EXPIRED
Firm/Employer: Discipline and/or Board Action: NO
Certificate Issue Date: 10/19/2010
Certificate Number: 11048
Permit Number: 1535
Permit Issue/Renew Date: 07/01/2012
Permit Expiration Date: 06/30/2014