TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  WHITNEY   WALLIS 
Type  Technician 
Number 7097 
City  TUSKAHOMA, OK  74574 
Status CANCELED
Issue Date  05/30/2003 
Renewed Date 06/16/2006
Expire Date  09/30/2006 
End Date  11/02/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action