TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  TRACY   ULLUM 
Type  Technician 
Number 16321 
City  SEDAN, KS  67361 
Status CANCELED
Issue Date  02/29/2012 
Renewed Date 08/24/2012
Expire Date  08/31/2013 
End Date  09/30/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action