TechDetail

Last Updated:  4/24/2024 7:06:20 PM

Technician Detail               
Name  NERISSA DIONNE  WYNN 
Type  Technician 
Number 6091 
City  NEWKIRK, OK  74647 
Status Revoked
Issue Date  03/15/2002 
Renewed Date 12/13/2004
Expire Date  10/31/2005 
End Date  12/01/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
04/26/2006  786 
Contact Board for more information.