TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  LANA   ADKISSON 
Type  Technician 
Number 11279 
City  CHOCTAW, OK  73020 
Status CANCELED
Issue Date  08/27/2007 
Renewed Date 11/09/2007
Expire Date  10/31/2008 
End Date  12/01/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action