TechDetail

Last Updated:  5/8/2024 5:20:02 AM

Technician Detail               
Name  JOANNA MONICA  FORD 
Type  Technician 
Number 2103 
City  PONCA CITY, OK  74601 
Status CANCELED
Issue Date  06/19/1996 
Renewed Date 12/15/1999
Expire Date  01/31/2001 
End Date  03/15/2001 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action