TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  MAKENNA L.  DERSHEM 
Type  Technician 
Number 14762 
City  STILLWATER, OK  74074 
Status CANCELED
Issue Date  10/15/2010 
Renewed Date 01/28/2012
Expire Date  02/28/2013 
End Date  03/31/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action