TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  SILVIA LISSETTE  CLEM 
Type  Technician 
Number 21417 
City  TERLTON, OK  74081 
Status CANCELED
Issue Date  02/22/2016 
Renewed Date 09/10/2019
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