TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  JESSICA   STARK 
Type  Technician 
Number 22342 
City  LANE, OK  74555 
Status CANCELED
Issue Date  11/10/2016 
Renewed Date 11/10/2016
Expire Date  06/30/2017 
End Date  07/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action