TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  ALEXIS V.  WARD 
Type  Technician 
Number 9059 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  08/19/2005 
Renewed Date 12/18/2009
Expire Date  12/31/2010 
End Date  01/31/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
07/18/2007  811 
Contact Board for more information.