TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  MISTY JO  FAIRLESS 
Type  Technician 
Number 4462 
City  ANTLERS, OK  74523 
Status CANCELED
Issue Date  04/20/2000 
Renewed Date 05/04/2007
Expire Date  04/30/2008 
End Date  05/30/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action