TechDetail

Last Updated:  4/27/2024 5:20:44 AM

Technician Detail               
Name  ELENA IVELISSE  GONZALEZ 
Type  Technician 
Number 25190 
City  LAWTON, OK  73507 
Status CANCELED
Issue Date  06/18/2019 
Renewed Date 06/18/2019
Expire Date  03/31/2020 
End Date  05/02/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action