TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  PATRICIA LEE  ETHERIDGE 
Type  Technician 
Number 10994 
City  MIAMI, OK  74354 
Status CANCELED
Issue Date  06/06/2007 
Renewed Date 06/08/2007
Expire Date  11/30/2007 
End Date  01/02/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action