TechDetail

Last Updated:  5/19/2024 7:06:33 PM

Technician Detail               
Name  ELISE LEE-ANN  BLACK 
Type  Technician 
Number 15489 
City  PIEDMONT, OK  73078 
Status CANCELED
Issue Date  06/14/2011 
Renewed Date 07/18/2017
Expire Date  11/30/2017 
End Date  12/31/2017 

Immunization?

No 
 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.
Case Date   Case Number  
No Disciplinary Action