TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  ADRIENNE CARMELA  WALLACE 
Type  Technician 
Number 14235 
City  TULSA, OK  74105 
Status CANCELED
Issue Date  05/03/2010 
Renewed Date 05/04/2010
Expire Date  05/31/2011 
End Date  06/30/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action