TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  SUSAN L.  TATUM 
Type  Technician 
Number 1076 
City  MUSKOGEE, OK  74401 
Status CANCELED
Issue Date  07/21/1994 
Renewed Date 09/08/2013
Expire Date  09/30/2014 
End Date  10/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action