Last Updated: 12/10/2025 8:09:35 AM
Technician Detail| Name | LARISA BLOSSER |
| Type | Technician |
| Number | 15775 |
| City | ENID, OK 73703 |
| Status | CANCELED |
| Issue Date | 09/12/2011 |
| Renewed Date | 05/25/2022 |
| Expire Date | 05/31/2023 |
| End Date | 07/05/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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