TechDetail

Last Updated:  5/28/2024 7:04:57 PM

Technician Detail               
Name  JESSICA   RUSSELL 
Type  Technician 
Number 19169 
City  ROL, OK  74954 
Status CANCELED
Issue Date  06/05/2014 
Renewed Date 01/02/2017
Expire Date  12/31/2017 
End Date  01/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action