TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  BRANDI   LAVACK 
Type  Technician 
Number 9344 
City  MIDWEST CITY, OK  73110 
Status CANCELED
Issue Date  12/02/2005 
Renewed Date 03/06/2006
Expire Date  02/28/2007 
End Date  08/16/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action