TechDetail

Last Updated:  5/6/2024 7:06:46 PM

Technician Detail               
Name  CECELIA MARY ANN  SHACKELFORD 
Type  Technician 
Number 1420 
City  ANTLERS, OK  74523 
Status CANCELED
Issue Date  02/17/1995 
Renewed Date 02/17/1995
Expire Date  01/31/1996 
End Date  03/01/1996 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action