Last Updated: 5/16/2024 7:04:50 PM
Technician Detail| Name | AMY GILLENWATER |
| Type | Technician |
| Number | 21183 |
| City | BROKEN ARROW, OK 74012 |
| Status | CANCELED |
| Issue Date | 12/11/2015 |
| Renewed Date | 06/17/2022 |
| Expire Date | 11/30/2022 |
| End Date | 01/04/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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