Last Updated: 4/29/2024 5:20:32 AM
Technician Detail| Name | CORINNA VANDERHEIDEN |
| Type | Technician |
| Number | 2101 |
| City | BUNCH, OK 74931 |
| Status | CANCELED |
| Issue Date | 06/19/1996 |
| Renewed Date | 08/12/2019 |
| Expire Date | 08/31/2020 |
| End Date | 10/01/2020 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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