TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  TARA   SMITH 
Type  Technician 
Number 21016 
City  GORE, OK  74435 
Status CANCELED
Issue Date  10/15/2015 
Renewed Date 08/03/2018
Expire Date  09/30/2019 
End Date  11/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action