TechDetail

Last Updated:  4/27/2024 5:20:44 AM

Technician Detail               
Name  LAURA GABRIELLA  HICKERSON 
Type  Technician 
Number 9358 
City  ADA, OK  74820 
Status CANCELED
Issue Date  12/06/2005 
Renewed Date 12/06/2005
Expire Date  03/31/2006 
End Date  05/01/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action