TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  PHELISHA DAWN  BOLTON 
Type  Technician 
Number 12288 
City  CLAREMORE, OK  74017 
Status CANCELED
Issue Date  07/11/2008 
Renewed Date 01/24/2018
Expire Date  01/31/2019 
End Date  03/04/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action