TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  RENA   GRISSOM 
Type  Technician 
Number 13876 
City  WYNNEWOOD, OK  73098 
Status CANCELED
Issue Date  01/06/2010 
Renewed Date 06/26/2017
Expire Date  06/30/2018 
End Date  07/30/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action