TechDetail

Last Updated:  5/4/2024 5:19:28 AM

Technician Detail               
Name  LAURI   CLARK 
Type  Technician 
Number 22946 
City  ADA, OK  74820 
Status CANCELED
Issue Date  05/12/2017 
Renewed Date 05/15/2017
Expire Date  03/31/2018 
End Date  04/30/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action