Last Updated: 5/15/2024 5:21:32 AM
Technician Detail| Name | CHARLES M. RUSSELL |
| Type | Technician |
| Number | 21674 |
| City | WAPANUCKA, OK 73461 |
| Status | CANCELED |
| Issue Date | 05/04/2016 |
| Renewed Date | 05/10/2016 |
| Expire Date | 05/31/2017 |
| End Date | 09/06/2016 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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