TechDetail

Last Updated:  5/7/2024 7:05:49 PM

Technician Detail               
Name  SANDRA   LIVELY 
Type  Technician 
Number 13432 
City  FT. GIBSON, OK  74434 
Status CANCELED
Issue Date  08/13/2009 
Renewed Date 08/10/2010
Expire Date  08/31/2011 
End Date  09/30/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action