The Certification name called TARA M WAGNER which LVIS License No is 2076651, Old License No is 109922,and its status is Expired. For more Information, you can see the table below.
| Name | TARA M WAGNER |
|---|---|
| LVIS License No | 2076651 |
| Old License No | 109922 |
| Status | Expired |
| Degree | None |
| Area: Action: | Issue: Expire: | Preparation: Gradation: | Validity: Competency: | Basis: Intern: |
|---|---|---|---|---|
| Substitute Permit Original | 5/22/1996 5/22/1997 | Not Applicable Not Applicable | All Schools NA | NA |