TechDetail

Last Updated:  1/13/2025 5:21:18 AM

Technician Detail               
Name  CHANTA   LANE 
Type  Technician 
Number 24503 
City  BARTLESVILLE, OK  74006 
Status CANCELED
Issue Date  10/16/2018 
Renewed Date 10/16/2018
Expire Date  09/30/2019 
End Date  11/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action