TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  KATELYN JO  MARTIN 
Type  Technician 
Number 11194 
City  CROWDER, OK  74430 
Status CANCELED
Issue Date  08/02/2007 
Renewed Date 08/02/2007
Expire Date  09/30/2007 
End Date  11/01/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action