TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  KATLYN MARIE  MATHERLY 
Type  Technician 
Number 21619 
City  ALTUS, OK  73521 
Status CANCELED
Issue Date  04/14/2016 
Renewed Date 04/15/2016
Expire Date  08/31/2016 
End Date  09/30/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action