TechDetail

Last Updated:  12/9/2025 7:10:33 PM

Technician Detail               
Name  REBEKA NOEL  LAKE-DIETERICH 
Type  Technician 
Number 16803 
City  TULSA, OK  74104 
Status CANCELED
Issue Date  08/13/2012 
Renewed Date 08/16/2012
Expire Date  08/31/2013 
End Date  09/30/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action