TechDetail

Last Updated:  12/21/2024 7:07:07 PM

Technician Detail               
Name  STACEY   WALLENSTEIN 
Type  Technician 
Number 9971 
City  MOORE, OK  73160 
Status CANCELED
Issue Date  07/12/2006 
Renewed Date 01/18/2007
Expire Date  01/31/2008 
End Date  01/31/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action