TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  LISA   VAN LEEUWEN 
Type  Technician 
Number 9267 
City  TULSA, OK  74105 
Status CANCELED
Issue Date  10/31/2005 
Renewed Date 11/02/2005
Expire Date  08/31/2006 
End Date  10/02/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action