TechDetail

Last Updated:  1/15/2025 5:23:18 AM

Technician Detail               
Name  CARMA DAWN  RUSSELL 
Type  Technician 
Number 23697 
City  HAVANA, KS  67347 
Status CANCELED
Issue Date  02/06/2018 
Renewed Date 02/15/2019
Expire Date  02/29/2020 
End Date  03/30/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action