TechDetail

Last Updated:  5/5/2024 5:21:49 AM

Technician Detail               
Name  JACKIE LYNN  GRAV 
Type  Technician 
Number 29427 
City  MOORE, OK  73160 
Status CANCELED
Issue Date  09/29/2022 
Renewed Date 12/28/2022
Expire Date  12/31/2023 
End Date  02/02/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action