TechDetail

Last Updated:  5/6/2024 7:06:46 PM

Technician Detail               
Name  AMANDA JEAN  MACE 
Type  Technician 
Number 17953 
City  MUSKOGEE, OK  74401 
Status CANCELED
Issue Date  06/25/2013 
Renewed Date 11/01/2013
Expire Date  12/31/2014 
End Date  01/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action