Last Updated: 4/29/2024 5:20:32 AM
Technician DetailName | KYALA GROSS |
Type | Technician |
Number | 21425 |
City | WAGONER, OK 74467 |
Status | Revoked |
Issue Date | 02/22/2016 |
Renewed Date | 05/13/2016 |
Expire Date | 04/30/2017 |
End Date | 03/29/2017 |
Immunization? |
No |
Disciplinary
Action
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Case Date | Case Number |
03/29/2017 | 1456 |
Contact Board for more information. | |