TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  JENNIFER   BIVINS 
Type  Technician 
Number 19204 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  06/24/2014 
Renewed Date 09/06/2014
Expire Date  08/31/2015 
End Date  09/30/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action