TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  MARY MARGARET  SHALLCROSS 
Type  Technician 
Number 21784 
City  TULSA, OK  74114 
Status CANCELED
Issue Date  06/07/2016 
Renewed Date 06/09/2016
Expire Date  12/31/2016 
End Date  01/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action