- Code
- ITU-IVA-76
- Mercy ID
- V-00084-02
- Last
- Iturbe
- First
- Ivan
- DOB
- 05/06/1976
- County
- Gwinnett
- House
- (678) 615-2279
|
CODE
|
DATE
|
SERVICE
|
INTAKE BY
|
CONTACT MODE
|
DATA ENTRY
|
|
ITU-IVA-76 |
12/20/2005 |
DFACS |
F. Perez |
Face to face |
R. Gonzalez |
|
ITU-IVA-76 |
12/20/2005 |
Entrevista |
F. Perez |
Face to face |
R. Gonzalez |
|
ITU-IVA-76 |
12/20/2005 |
Information |
F. Perez |
Face to face |
R. Gonzalez |
|
ITU-IVA-76 |
12/20/2005 |
Intake |
F. Perez |
Face to face |
R. Gonzalez |
|
ITU-IVA-76 |
11/16/2005 |
Follow Up |
R. Miranda |
Telephone |
R. Gonzalez |
|
ITU-IVA-76 |
11/09/2005 |
Follow Up |
R. Miranda |
Face to face |
R. Gonzalez |
