TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  RUSSELL J.  GOODMAN 
Type  Technician 
Number 6197 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  05/03/2002 
Renewed Date 02/05/2003
Expire Date  01/31/2004 
End Date  01/21/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action