Last Updated: 9/20/2024 7:06:23 PM
Technician Detail| Name | TIFFANY M WALLACE |
| Type | Technician |
| Number | 23301 |
| City | HOMINY, OK 74035 |
| Status | License in Good Standing |
| Issue Date | 09/05/2017 |
| Renewed Date | 05/30/2024 |
| Expire Date | 05/31/2025 |
| End Date | |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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