TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  KEYONNA M.  WILSON 
Type  Technician 
Number 8367 
City  SPENCER, OK  73084 
Status CANCELED
Issue Date  11/03/2004 
Renewed Date 02/02/2005
Expire Date  02/28/2006 
End Date  03/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action