TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  KRISTIE   WALLACE 
Type  Technician 
Number 12759 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  12/05/2008 
Renewed Date 10/25/2018
Expire Date  10/31/2019 
End Date  12/02/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action