TechDetail

Last Updated:  5/19/2024 7:06:33 PM

Technician Detail               
Name  SAMUEL   SHEPARD 
Type  Technician 
Number 21693 
City  TULSA, OK  74107 
Status CANCELED
Issue Date  05/06/2016 
Renewed Date 08/30/2019
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