TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  AUTUMN DESIREE  ROSE 
Type  Technician 
Number 20459 
City  TULSA, OK  74133 
Status CANCELED
Issue Date  06/01/2015 
Renewed Date 09/13/2018
Expire Date  08/31/2019 
End Date  08/27/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action