TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  KENZIE   WALLACE 
Type  Technician 
Number 27323 
City  OKLAHOMA CITY, OK  73145 
Status CANCELED
Issue Date  04/16/2021 
Renewed Date 11/26/2021
Expire Date  12/31/2022 
End Date  02/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action