TechDetail

Last Updated:  4/27/2024 7:04:28 PM

Technician Detail               
Name  LANEY RENAE  RUSSELL 
Type  Technician 
Number 29926 
City  WATONGA, OK  73772 
Status CANCELED
Issue Date  02/16/2023 
Renewed Date 02/16/2023
Expire Date  09/30/2023 
End Date  11/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action