Last Updated: 1/11/2025 5:22:19 AM
Technician Detail| Name | MAKENZIE LANAE WALLACE |
| Type | Technician |
| Number | 26610 |
| City | ARDMORE, OK 73401 |
| Status | CANCELED |
| Issue Date | 09/30/2020 |
| Renewed Date | 10/01/2020 |
| Expire Date | 05/31/2021 |
| End Date | 07/01/2021 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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