Last Updated: 4/23/2024 7:04:02 PM
Technician Detail| Name | PHYLESHA BLYTHE VAN PELT |
| Type | Technician |
| Number | 22576 |
| City | JOPLIN, MO 64801 |
| Status | CANCELED |
| Issue Date | 01/11/2017 |
| Renewed Date | 01/12/2017 |
| Expire Date | 08/31/2017 |
| End Date | 09/30/2017 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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