TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  TAMARA JO  PETTY 
Type  Technician 
Number 20908 
City  OKARCHE, OK  73762 
Status CANCELED
Issue Date  09/18/2015 
Renewed Date 04/30/2019
Expire Date  04/30/2020 
End Date  06/01/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action