TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  HOLLY MICHELLE  NORTHUP 
Type  Technician 
Number 12100 
City  EDMOND, OK  73034 
Status CANCELED
Issue Date  05/20/2008 
Renewed Date 02/04/2010
Expire Date  01/31/2011 
End Date  03/02/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action