TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  CHASE MARC  LAWRENCE 
Type  Technician 
Number 8200 
City  ADA, OK  74820 
Status CANCELED
Issue Date  08/25/2004 
Renewed Date 11/09/2006
Expire Date  12/31/2007 
End Date  01/31/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action