TechDetail

Last Updated:  4/27/2024 5:20:44 AM

Technician Detail               
Name  KATY LYNN  SAMS 
Type  Technician 
Number 19109 
City  KELLYVILLE, OK  74039 
Status CANCELED
Issue Date  05/14/2014 
Renewed Date 05/16/2014
Expire Date  09/30/2014 
End Date  10/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action