Last Updated: 5/14/2024 5:21:24 AM
Technician Detail| Name | STACY RUSSELL |
| Type | Technician |
| Number | 12624 |
| City | WELLSTON, OK 74881 |
| Status | Revoked |
| Issue Date | 10/17/2008 |
| Renewed Date | 12/12/2016 |
| Expire Date | 11/30/2017 |
| End Date | 08/30/2017 |
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Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| 08/30/2017 | 1465 |
| Contact Board for more information. | |
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