TechDetail

Last Updated:  5/13/2024 5:20:30 AM

Technician Detail               
Name  KELLY   ACOSTA 
Type  Technician 
Number 16784 
City  CHOCTAW, OK  73020 
Status CANCELED
Issue Date  08/02/2012 
Renewed Date 11/20/2017
Expire Date  12/31/2018 
End Date  02/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action