TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  STACY   SEBASTIAN 
Type  Technician 
Number 13679 
City  OKEMAH, OK  74859 
Status CANCELED
Issue Date  11/05/2009 
Renewed Date 01/28/2011
Expire Date  01/31/2012 
End Date  03/01/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action