TechDetail

Last Updated:  5/1/2024 5:20:47 AM

Technician Detail               
Name  MARLENE   LATTA 
Type  Technician 
Number 4003 
City  SALLISAW, OK  74955 
Status CANCELED
Issue Date  09/14/1999 
Renewed Date 12/27/2002
Expire Date  01/31/2004 
End Date  03/05/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action