Last Updated: 5/19/2024 5:21:38 AM
Technician Detail| Name | STEPHANIE LYNN FULLER |
| Type | Technician |
| Number | 20743 |
| City | GRAND RAPIDS, MI 49544 |
| Status | CANCELED |
| Issue Date | 08/17/2015 |
| Renewed Date | 08/19/2015 |
| Expire Date | 01/31/2016 |
| End Date | 03/02/2016 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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