TechDetail

Last Updated:  4/26/2024 5:20:56 AM

Technician Detail               
Name  ANDREA   RICO 
Type  Technician 
Number 22547 
City  SOUTHWEST CITY, MO  64863 
Status CANCELED
Issue Date  01/03/2017 
Renewed Date 09/13/2018
Expire Date  09/30/2019 
End Date  11/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action