TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  STACY L.  LATTA 
Type  Technician 
Number 5569 
City  KELLYVILLE, OK  74039 
Status CANCELED
Issue Date  07/31/2001 
Renewed Date 07/20/2010
Expire Date  08/31/2011 
End Date  09/30/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action