Last Updated: 7/1/2024 5:20:50 AM
Technician Detail| Name | LARISSA D MANGHAM |
| Type | Technician |
| Number | 29818 |
| City | CALERA, OK 74730 |
| Status | CANCELED |
| Issue Date | 01/13/2023 |
| Renewed Date | 01/13/2023 |
| Expire Date | 01/31/2024 |
| End Date | 03/04/2024 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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