Last Updated: 5/18/2024 7:05:42 PM
Technician Detail| Name | JEANETTE FAIRBANKS |
| Type | Technician |
| Number | 484 |
| City | PONCA CITY, OK 74604 |
| Status | CANCELED |
| Issue Date | 03/01/1994 |
| Renewed Date | 02/03/1995 |
| Expire Date | 01/31/1996 |
| End Date | 03/01/1996 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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