TechDetail

Last Updated:  12/24/2024 7:08:15 PM

Technician Detail               
Name  LISA   AVGOUSTI 
Type  Technician 
Number 8255 
City  BROKEN ARROW, OK  74011 
Status CANCELED
Issue Date  09/22/2004 
Renewed Date 02/04/2005
Expire Date  05/31/2006 
End Date  06/30/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action