Last Updated: 1/11/2025 7:07:24 PM
Technician DetailName | STACY RUSSELL |
Type | Technician |
Number | 12624 |
City | WELLSTON, OK 74881 |
Status | Revoked |
Issue Date | 10/17/2008 |
Renewed Date | 12/12/2016 |
Expire Date | 11/30/2017 |
End Date | 08/30/2017 |
Immunization? |
No |
Disciplinary
Action
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Case Date | Case Number |
08/30/2017 | 1465 |
Contact Board for more information. | |