TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  NICOLE LYNN  SLUDER-SHAPUTIS 
Type  Technician 
Number 18734 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  01/23/2014 
Renewed Date 11/16/2015
Expire Date  11/30/2016 
End Date  12/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action