TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  LAHOMA GAYLE  CLARK 
Type  Technician 
Number 6841 
City  MILL CREEK, OK  74856 
Status CANCELED
Issue Date  02/11/2003 
Renewed Date 05/29/2020
Expire Date  06/30/2021 
End Date  08/02/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action