TechDetail

Last Updated:  5/5/2024 7:06:14 PM

Technician Detail               
Name  ELAINE MARIE  SOUTHWELL 
Type  Technician 
Number 5493 
City  OKLAHOMA CITY, OK  73135 
Status CANCELED
Issue Date  07/06/2001 
Renewed Date 01/21/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action