TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  AUTUMN   LILES 
Type  Technician 
Number 24916 
City  OKLAHOMA CITY, OK  73112 
Status CANCELED
Issue Date  03/12/2019 
Renewed Date 01/13/2020
Expire Date  01/31/2021 
End Date  03/03/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action