TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  ALEXIS MARIE  PETERSON 
Type  Technician 
Number 21625 
City  ENID, OK  73703 
Status CANCELED
Issue Date  04/14/2016 
Renewed Date 11/17/2016
Expire Date  11/30/2017 
End Date  12/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action