TechDetail

Last Updated:  5/9/2024 7:05:07 PM

Technician Detail               
Name  STACIE   ATNIP 
Type  Technician 
Number 20868 
City  TISHOMINGO, OK  73460 
Status License in Good Standing
Issue Date  09/17/2015 
Renewed Date 05/08/2024
Expire Date  05/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action