TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  LAUREN   WISEMAN 
Type  Technician 
Number 12225 
City  ADA, OK  74820 
Status CANCELED
Issue Date  06/24/2008 
Renewed Date 06/25/2008
Expire Date  06/30/2009 
End Date  07/31/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action