TechDetail

Last Updated:  4/25/2024 5:19:46 AM

Technician Detail               
Name  ALYCIA   LACY 
Type  Technician 
Number 5395 
City  OKLAHOMA CITY, OK  73170 
Status CANCELED
Issue Date  06/05/2001 
Renewed Date 01/16/2003
Expire Date  01/31/2004 
End Date  09/10/2003 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action