TechDetail

Last Updated:  4/12/2026 5:43:14 AM

Technician Detail               
Name  HEAVAN RENE  FOWLKES 
Type  Technician 
Number 19862 
City  TULSA, OK  74106 
Status CANCELED
Issue Date  12/04/2014 
Renewed Date 12/05/2014
Expire Date  12/31/2015 
End Date  01/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action