TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  KACI D.  WALLACE 
Type  Technician 
Number 17455 
City  ADA, OK  74820 
Status CANCELED
Issue Date  02/06/2013 
Renewed Date 02/08/2013
Expire Date  01/31/2014 
End Date  03/03/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action