TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  CARLA   JACKSON 
Type  Technician 
Number 10015 
City  ATOKA, OK  74525 
Status CANCELED
Issue Date  08/01/2006 
Renewed Date 09/29/2006
Expire Date  10/31/2007 
End Date  11/30/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action