Last Updated: 9/19/2024 5:21:45 AM
Technician Detail| Name | HOLLY LANELL LARA |
| Type | Technician |
| Number | 8791 |
| City | MANGUM, OK 73554 |
| Status | CANCELED |
| Issue Date | 05/12/2005 |
| Renewed Date | 05/13/2005 |
| Expire Date | 12/31/2005 |
| End Date | 01/31/2006 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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