TechDetail

Last Updated:  5/5/2024 7:06:14 PM

Technician Detail               
Name  RIKKI   SHAW 
Type  Technician 
Number 19602 
City  BROKEN BOW, OK  74728 
Status CANCELED
Issue Date  09/23/2014 
Renewed Date 09/24/2014
Expire Date  07/31/2015 
End Date  08/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action