Last Updated: 5/18/2024 5:22:36 AM
Technician Detail| Name | STACEY HUMPHREY |
| Type | Technician |
| Number | 11229 |
| City | BROKEN BOW, OK 74728 |
| Status | CANCELED |
| Issue Date | 08/14/2007 |
| Renewed Date | 11/03/2016 |
| Expire Date | 10/31/2017 |
| End Date | 11/30/2017 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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