TechDetail

Last Updated:  9/19/2026 5:38:20 AM

Technician Detail               
Name  CARLA JEAN  MOULTON 
Type  Technician 
Number 10622 
City  HENNESSEY, OK  73742 
Status CANCELED
Issue Date  02/13/2007 
Renewed Date 07/10/2013
Expire Date  08/31/2014 
End Date  09/30/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action