TechDetail

Last Updated:  1/19/2026 7:24:26 PM

Technician Detail               
Name  LISA   VAN WAGNER 
Type  Technician 
Number 3771 
City  RALEIGH, NC  27609 
Status CANCELED
Issue Date  05/25/1999 
Renewed Date 07/06/2016
Expire Date  08/31/2017 
End Date  09/30/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action