TechDetail

Last Updated:  5/2/2024 7:07:06 PM

Technician Detail               
Name  SHAUNA   BENNETT 
Type  Technician 
Number 19278 
City  ADA, OK  74820 
Status CANCELED
Issue Date  06/27/2014 
Renewed Date 01/09/2015
Expire Date  02/29/2016 
End Date  03/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action