The holder whose full name is Wagner, Ching -Shu Chia,come from Anderson IN,hold the CSR-Dentist license(NO.12008738B) which status is Expired.
| Name | Wagner, Ching -Shu Chia |
|---|---|
| License Number | 12008738B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Anderson |
| State | IN |