TechDetail

Last Updated:  5/20/2024 7:06:05 PM

Technician Detail               
Name  SUSAN M.  PAYNE 
Type  Technician 
Number 10017 
City  ADAIR, OK  74330 
Status CANCELED
Issue Date  08/01/2006 
Renewed Date 07/13/2007
Expire Date  08/31/2008 
End Date  10/01/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action