TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  LORI ANN  FORNAL 
Type  Technician 
Number 2094 
City  EDMOND, OK  73003 
Status CANCELED
Issue Date  06/14/1996 
Renewed Date 02/03/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action