TechDetail

Last Updated:  1/10/2025 7:07:27 PM

Technician Detail               
Name  MELISSA   WILSON 
Type  Technician 
Number 25075 
City  PONCA CITY, OK  74604 
Status CANCELED
Issue Date  05/02/2019 
Renewed Date 05/02/2019
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