Last Updated: 5/19/2024 5:21:38 AM
Technician Detail| Name | MISTI AUTUMN SHORT |
| Type | Technician |
| Number | 1776 |
| City | SHAWNEE, OK 74801 |
| Status | CANCELED |
| Issue Date | 11/09/1995 |
| Renewed Date | 03/20/1996 |
| Expire Date | 01/31/1997 |
| End Date | 03/27/1997 |
|
Immunization? |
No |
Disciplinary
Action
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Case
Date
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Case Number |
| No Disciplinary Action | |
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