TechDetail

Last Updated:  12/29/2024 5:22:11 AM

Technician Detail               
Name  LISA AMELIA  ROBERTS 
Type  Technician 
Number 25201 
City  ADA, OK  74820 
Status CANCELED
Issue Date  06/18/2019 
Renewed Date 10/31/2021
Expire Date  10/31/2022 
End Date  02/15/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action