TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  WANDA ELAINE  CRISSWELL 
Type  Technician 
Number 636 
City  SHARON, OK  73857 
Status CANCELED
Issue Date  03/25/1994 
Renewed Date 09/19/2012
Expire Date  10/31/2013 
End Date  11/30/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action