TechDetail

Last Updated:  1/13/2025 5:21:18 AM

Technician Detail               
Name  LARISSA RACHELLE  SMITH 
Type  Technician 
Number 13709 
City  WEWOKA, OK  74884 
Status CANCELED
Issue Date  11/13/2009 
Renewed Date 06/28/2010
Expire Date  06/30/2011 
End Date  07/31/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action