TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  AUTUMN Y.  SUSBERRY 
Type  Technician 
Number 16179 
City  LANGSTON, OK  73050 
Status CANCELED
Issue Date  01/06/2012 
Renewed Date 01/06/2012
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