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Name:
Fern Yvonne Tallmadge
Certificate Status:
Active
Address:
12583 W. 105th St.
Overland Park, KS 66215-0000
Permit Status:
Firm/Employer:
Discipline and/or Board Action:
NO
Certificate Issue Date:
04/29/1986
Certificate Number:
5106
Permit Number:
Permit Issue/Renew Date:
/ /
Permit Expiration Date:
/ /