TechDetail

Last Updated:  5/1/2024 5:20:47 AM

Technician Detail               
Name  KIMBERLY   LEWIS 
Type  Technician 
Number 8740 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  04/22/2005 
Renewed Date 02/22/2012
Expire Date  02/28/2013 
End Date  08/27/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action