TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  ALICIA BETH  GROSECLOS 
Type  Technician 
Number 23042 
City  EUFAULA, OK  74432 
Status CANCELED
Issue Date  06/19/2017 
Renewed Date 06/19/2017
Expire Date  02/28/2018 
End Date  03/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action