TechDetail

Last Updated:  5/19/2024 7:06:33 PM

Technician Detail               
Name  KIMBERLY R.  PETERSON 
Type  Technician 
Number 208 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 01/12/1995
Expire Date  01/31/1996 
End Date  08/03/1995 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action