TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  KATIE LEE  JOHNSON 
Type  Technician 
Number 12073 
City  GOODWELL, OK  73939 
Status CANCELED
Issue Date  05/14/2008 
Renewed Date 10/10/2008
Expire Date  10/31/2009 
End Date  11/30/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action