TechDetail

Last Updated:  1/10/2025 7:07:27 PM

Technician Detail               
Name  ALISAR MAARTEN  ASSAF 
Type  Technician 
Number 15287 
City  LAWTON, OK  73507 
Status Revoked
Issue Date  04/11/2011 
Renewed Date 11/29/2011
Expire Date  11/30/2012 
End Date  08/15/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
08/15/2012  1121 
Contact Board for more information.