TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  CAROLYN LAVONNE  HALL 
Type  Technician 
Number 4600 
City  HASKELL, OK  74436 
Status CANCELED
Issue Date  06/30/2000 
Renewed Date 01/16/2003
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