TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  STACI   WILLIS 
Type  Technician 
Number 16555 
City  BROKEN BOW, OK  74728 
Status CANCELED
Issue Date  05/24/2012 
Renewed Date 05/25/2012
Expire Date  07/31/2012 
End Date  08/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action