TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  LORI BETH  HAVENS 
Type  Technician 
Number 2829 
City  MUSKOGEE, OK  74403 
Status CANCELED
Issue Date  09/30/1997 
Renewed Date 11/02/2005
Expire Date  10/31/2006 
End Date  12/04/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action