Last Updated: 12/22/2024 7:09:13 PM
Technician Detail| Name | MATTHEW WALLIS |
| Type | Technician |
| Number | 9324 |
| City | TUSKAHOMA, OK 74574 |
| Status | CANCELED |
| Issue Date | 11/21/2005 |
| Renewed Date | 04/07/2006 |
| Expire Date | 03/31/2007 |
| End Date | 05/01/2007 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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