Last Updated: 5/10/2026 5:35:50 AM
Technician Detail| Name | LARISSA GAVRILOV |
| Type | Technician |
| Number | 12603 |
| City | BROKEN ARROW, OK 74011 |
| Status | CANCELED |
| Issue Date | 10/15/2008 |
| Renewed Date | 02/01/2014 |
| Expire Date | 01/31/2015 |
| End Date | 03/02/2015 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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