TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  TINA   DAVIS 
Type  Technician 
Number 21180 
City  MILBURN, OK  73450 
Status CANCELED
Issue Date  12/11/2015 
Renewed Date 05/16/2019
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