TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  DONETTE   KEIZOR 
Type  Technician 
Number 10020 
City  SAPULPA, OK  74066 
Status License in Good Standing
Issue Date  08/03/2006 
Renewed Date 11/10/2023
Expire Date  11/30/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action