TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  GINGER RAGON  ROSE 
Type  Technician 
Number 1797 
City  KEOTA, OK  74941 
Status CANCELED
Issue Date  12/11/1995 
Renewed Date 02/14/1996
Expire Date  01/31/1997 
End Date  03/27/1997 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action