TechDetail

Last Updated:  1/4/2025 7:06:54 PM

Technician Detail               
Name  LAURISSA BLAIR  BENNETT 
Type  Technician 
Number 30556 
City  ADA, OK  74820 
Status CANCELED
Issue Date  08/16/2023 
Renewed Date 08/17/2023
Expire Date  07/31/2024 
End Date  09/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action