TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  IVANNE LYNN  WILSON 
Type  Technician 
Number 266 
City  SHAWNEE, OK  74802 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 02/11/1994
Expire Date  01/31/1995 
End Date  02/24/1995 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action