TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  JUSTINA DAWN  THOMAS 
Type  Technician 
Number 2655 
City  ALVA, OK  73717 
Status CANCELED
Issue Date  06/11/1997 
Renewed Date 12/22/1998
Expire Date  01/31/2000 
End Date  03/10/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action