TechDetail

Last Updated:  1/2/2025 5:24:08 AM

Technician Detail               
Name  STACY RENE  ELLIS 
Type  Technician 
Number 7778 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  02/20/2004 
Renewed Date 12/10/2013
Expire Date  12/31/2014 
End Date  01/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action