TechDetail

Last Updated:  12/28/2024 5:21:34 AM

Technician Detail               
Name  LACY   WELLS 
Type  Technician 
Number 7900 
City  CHICKASHA, OK  73018 
Status CANCELED
Issue Date  04/09/2004 
Renewed Date 04/09/2004
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