TechDetail

Last Updated:  5/4/2024 5:19:28 AM

Technician Detail               
Name  FONDA LORAE  ASHFORD 
Type  Technician 
Number 6092 
City  BLACKWELL, OK  74631 
Status CANCELED
Issue Date  03/18/2002 
Renewed Date 01/03/2003
Expire Date  01/31/2004 
End Date  03/05/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action