TechDetail

Last Updated:  10/17/2024 7:06:19 PM

Technician Detail               
Name  DIANA   LAVARN 
Type  Technician 
Number 8910 
City  OKLAHOMA CITY, OK  73120 
Status CANCELED
Issue Date  06/29/2005 
Renewed Date 02/10/2006
Expire Date  02/28/2007 
End Date  04/02/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action