TechDetail

Last Updated:  5/15/2024 7:06:35 PM

Technician Detail               
Name  SHELLY   LEAVELL 
Type  Technician 
Number 3135 
City  MUSKOGEE, OK  74401 
Status CANCELED
Issue Date  05/11/1998 
Renewed Date 01/05/1999
Expire Date  01/31/2000 
End Date  03/10/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action