TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  JENNIFER LYNN  WALLACE 
Type  Technician 
Number 8845 
City  TULSA, OK  74115 
Status Revoked
Issue Date  06/01/2005 
Renewed Date 08/09/2006
Expire Date  09/30/2007 
End Date  11/01/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
08/20/2008  879 
Contact Board for more information.