TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  XIS PAULINE  LEE 
Type  Technician 
Number 28547 
City  JAY, OK  74346 
Status CANCELED
Issue Date  01/28/2022 
Renewed Date 09/27/2023
Expire Date  09/30/2024 
End Date  11/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action