TechDetail

Last Updated:  1/13/2025 5:21:18 AM

Technician Detail               
Name  LORI   BLACKWELL 
Type  Technician 
Number 15696 
City  WEWOKA, OK  74884 
Status CANCELED
Issue Date  08/22/2011 
Renewed Date 08/24/2011
Expire Date  02/29/2012 
End Date  03/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action