TechDetail

Last Updated:  1/8/2025 5:23:04 AM

Technician Detail               
Name  CHANTEL LAVERN  CARROLL 
Type  Technician 
Number 12339 
City  ALEX, OK  73002 
Status Revoked
Issue Date  07/29/2008 
Renewed Date 12/24/2015
Expire Date  11/30/2016 
End Date  09/28/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
09/28/2016  1426 
Contact Board for more information.