TechDetail

Last Updated:  4/22/2024 7:06:18 PM

Technician Detail               
Name  HOLLIE   CLARK 
Type  Technician 
Number 22552 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  01/05/2017 
Renewed Date 01/12/2017
Expire Date  04/30/2017 
End Date  05/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action