TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  JL   JACOBS 
Type  Technician 
Number 2730 
City  VALLIANT, OK  74764 
Status CANCELED
Issue Date  07/25/1997 
Renewed Date 06/01/2001
Expire Date  01/31/2002 
End Date  03/20/2002 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action