Last Updated: 5/5/2024 7:06:14 PM
Technician Detail| Name | CAROLYN RENEE SHAW |
| Type | Technician |
| Number | 12824 |
| City | BROKEN ARROW, OK 74012 |
| Status | Revoked |
| Issue Date | 01/08/2009 |
| Renewed Date | 07/20/2011 |
| Expire Date | 08/31/2012 |
| End Date | 08/15/2012 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| 03/02/2011 | 1012 |
| 08/15/2012 | 1118 |
| Contact Board for more information. | |
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