Last Updated: 12/16/2025 5:25:58 AM
Technician Detail| Name | LAVENA ALTHEIA JACKSON |
| Type | Technician |
| Number | 5748 |
| City | TULSA, OK 74126 |
| Status | CANCELED |
| Issue Date | 10/12/2001 |
| Renewed Date | 10/12/2001 |
| Expire Date | 01/31/2002 |
| End Date | 03/20/2002 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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