TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  MAISIE   LANHAM 
Type  Technician 
Number 9096 
City  EUFAULA, OK  74432 
Status CANCELED
Issue Date  09/01/2005 
Renewed Date 06/29/2009
Expire Date  07/31/2010 
End Date  09/14/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action