TechDetail

Last Updated:  9/28/2024 5:25:02 AM

Technician Detail               
Name  LEI LANI R  BLACK 
Type  Technician 
Number 3867 
City  SAND SPRINGS, OK  74063 
Status CANCELED
Issue Date  07/02/1999 
Renewed Date 07/02/1999
Expire Date  01/31/2000 
End Date  03/10/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action