TechDetail

Last Updated:  5/4/2024 5:19:28 AM

Technician Detail               
Name  LACIE   GRANTHAM 
Type  Technician 
Number 28609 
City  TULSA, OK  74133 
Status CANCELED
Issue Date  02/17/2022 
Renewed Date 03/02/2023
Expire Date  01/31/2024 
End Date  03/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action