TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  FAWNA   WILLIS 
Type  Technician 
Number 9701 
City  SKIATOOK, OK  74070 
Status CANCELED
Issue Date  04/13/2006 
Renewed Date 05/06/2014
Expire Date  04/30/2015 
End Date  05/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action