TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  SHELLY  LUTTRELL WALLACE 
Type  Technician 
Number 187 
City  ARDMORE, OK  73401 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 01/18/2002
Expire Date  01/31/2003 
End Date  09/04/2002 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action