TechDetail

Last Updated:  5/5/2024 7:06:14 PM

Technician Detail               
Name  MELISSA   BENNETT 
Type  Technician 
Number 21097 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  11/13/2015 
Renewed Date 05/27/2018
Expire Date  05/31/2019 
End Date  07/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action