Last Updated: 5/4/2024 5:19:28 AM
Technician Detail| Name | KELLI MICHELLE CLARK |
| Type | Technician |
| Number | 14555 |
| City | ADA, OK 74820 |
| Status | CANCELED |
| Issue Date | 08/30/2010 |
| Renewed Date | 08/18/2011 |
| Expire Date | 08/31/2012 |
| End Date | 09/30/2012 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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