Last Updated: 5/10/2024 7:04:17 PM
Technician Detail| Name | LU ANNE JOHNSON |
| Type | Technician |
| Number | 19395 |
| City | TISHOMINGO, OK 73460 |
| Status | CANCELED |
| Issue Date | 08/04/2014 |
| Renewed Date | 12/11/2015 |
| Expire Date | 01/31/2017 |
| End Date | 03/02/2017 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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