TechDetail

Last Updated:  1/10/2025 5:22:07 AM

Technician Detail               
Name  LEOLA ROXANNE  BEVILACQUA 
Type  Technician 
Number 7222 
City  LAVERNE, OK  73848 
Status CANCELED
Issue Date  07/09/2003 
Renewed Date 12/09/2003
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action