TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  DONNA LYSETTE  PAYAN 
Type  Technician 
Number 21013 
City  TULSA, OK  74115 
Status CANCELED
Issue Date  10/15/2015 
Renewed Date 10/16/2015
Expire Date  02/29/2016 
End Date  03/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action