TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  CODIE   CLARK 
Type  Technician 
Number 23040 
City  STUART, OK  74570 
Status CANCELED
Issue Date  06/19/2017 
Renewed Date 05/28/2020
Expire Date  05/31/2021 
End Date  07/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action