TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  SHANA   FULKERSON 
Type  Technician 
Number 12501 
City  OKLAHOMA CITY, OK  73170 
Status CANCELED
Issue Date  09/19/2008 
Renewed Date 09/22/2008
Expire Date  03/31/2009 
End Date  04/30/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action