TechDetail

Last Updated:  12/28/2024 5:21:34 AM

Technician Detail               
Name  LACEY RAE  ELLIOTT 
Type  Technician 
Number 12206 
City  ADA, OK  74820 
Status CANCELED
Issue Date  06/24/2008 
Renewed Date 04/02/2010
Expire Date  03/31/2011 
End Date  04/30/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action