TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  ELIZABETH L.  STARK 
Type  Technician 
Number 9370 
City  PONCA CITY, OK  74601 
Status CANCELED
Issue Date  12/09/2005 
Renewed Date 12/09/2005
Expire Date  05/31/2006 
End Date  06/30/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action