TechDetail

Last Updated:  12/21/2024 7:07:07 PM

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