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 | |
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