Last Updated: 4/17/2026 5:43:24 AM
Technician Detail| Name | JACI WALLACE |
| Type | Technician |
| Number | 12700 |
| City | MILBURN, OK 73450 |
| Status | CANCELED |
| Issue Date | 11/14/2008 |
| Renewed Date | 08/31/2012 |
| Expire Date | 11/30/2012 |
| End Date | 12/31/2012 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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