TechDetail

Last Updated:  7/9/2026 5:37:44 AM

Technician Detail               
Name  GWYNIVERE L  WALLACE 
Type  Technician 
Number 26082 
City  TULSA, OK  74106 
Status CANCELED
Issue Date  04/17/2020 
Renewed Date 03/19/2021
Expire Date  02/28/2022 
End Date  04/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action