Last Updated: 5/15/2024 5:21:32 AM
Technician Detail| Name | ROBERTA J. RUSSELL |
| Type | Technician |
| Number | 1109 |
| City | SAPULPA, OK 74066 |
| Status | CANCELED |
| Issue Date | 08/03/1994 |
| Renewed Date | 01/14/1997 |
| Expire Date | 01/31/1998 |
| End Date | 03/02/1998 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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