TechDetail

Last Updated:  5/7/2024 7:05:49 PM

Technician Detail               
Name  MISTY   JERONIMO 
Type  Technician 
Number 21290 
City  MADILL, OK  73446 
Status CANCELED
Issue Date  01/14/2016 
Renewed Date 10/28/2020
Expire Date  11/30/2021 
End Date  01/04/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action