TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  MARILYN   LAC 
Type  Technician 
Number 30419 
City  LAWTON, OK  73505 
Status License in Good Standing
Issue Date  07/07/2023 
Renewed Date 11/15/2023
Expire Date  12/31/2024 
End Date   

Immunization?

Yes 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action