TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  LISA MARIE  HICKS 
Type  Technician 
Number 10211 
City  COPAN, OK  74022 
Status CANCELED
Issue Date  10/05/2006 
Renewed Date 03/28/2008
Expire Date  01/31/2009 
End Date  03/02/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action