TechDetail

Last Updated:  5/11/2024 7:05:18 PM

Technician Detail               
Name  SHAUNA   STACEY 
Type  Technician 
Number 17398 
City  OKLAHOMA CITY, OK  73120 
Status Revoked
Issue Date  01/22/2013 
Renewed Date 09/08/2014
Expire Date  09/30/2015 
End Date  10/21/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
10/21/2015  1355 
Contact Board for more information.