TechDetail

Last Updated:  5/13/2024 5:20:30 AM

Technician Detail               
Name  SHELBY   RUSSELL 
Type  Technician 
Number 18653 
City  BARTLESVILLE, OK  74006 
Status CANCELED
Issue Date  01/02/2014 
Renewed Date 01/09/2014
Expire Date  05/31/2014 
End Date  06/30/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action