TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  ALISA G  GOLDEN 
Type  Technician 
Number 936 
City  ADA, OK  74820 
Status CANCELED
Issue Date  06/10/1994 
Renewed Date 08/10/2016
Expire Date  09/30/2017 
End Date  10/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action