TechDetail

Last Updated:  5/21/2024 7:04:26 PM

Technician Detail               
Name  AMANDA   QUEZADA 
Type  Technician 
Number 11099 
City  NEWALLA, OK  74857 
Status CANCELED
Issue Date  07/05/2007 
Renewed Date 07/06/2007
Expire Date  07/31/2008 
End Date  09/02/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action