TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  STEFANIE M.  WALLACE 
Type  Technician 
Number 8279 
City  LAWTON, OK  73507 
Status CANCELED
Issue Date  09/30/2004 
Renewed Date 10/21/2005
Expire Date  10/31/2006 
End Date  12/04/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action