TechDetail

Last Updated:  5/5/2024 7:06:14 PM

Technician Detail               
Name  RANDI DAWN  LACKEY 
Type  Technician 
Number 19159 
City  FAIRVIEW, OK  73737 
Status CANCELED
Issue Date  06/05/2014 
Renewed Date 06/09/2014
Expire Date  11/30/2014 
End Date  12/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action