TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  ROBERTA A.  SISSOM-GANN 
Type  Technician 
Number 9087 
City  JENNINGS, OK  74038 
Status CANCELED
Issue Date  08/29/2005 
Renewed Date 04/19/2011
Expire Date  04/30/2012 
End Date  05/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action