TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  HEAVEN   LARSEN 
Type  Technician 
Number 27156 
City  ARDMORE, OK  73401 
Status CANCELED
Issue Date  03/16/2021 
Renewed Date 05/27/2021
Expire Date  05/31/2022 
End Date  07/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action