TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  TERRI   REVELL 
Type  Technician 
Number 12030 
City  TROY, MI  59935 
Status CANCELED
Issue Date  05/01/2008 
Renewed Date 07/25/2008
Expire Date  08/31/2009 
End Date  08/31/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action