TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  LAURA D.  FERNANDEZ 
Type  Technician 
Number 415 
City  MOORE, OK  73160 
Status CANCELED
Issue Date  02/18/1994 
Renewed Date 01/28/1999
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