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