TechDetail

Last Updated:  4/29/2024 5:20:32 AM

Technician Detail               
Name  DALTON BRENT  LARSON 
Type  Technician 
Number 27592 
City  WAGONER, OK  74467 
Status CANCELED
Issue Date  07/02/2021 
Renewed Date 08/09/2022
Expire Date  07/31/2023 
End Date  09/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action