TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  HEIDI   STARK 
Type  Technician 
Number 23153 
City  CLAREMORE, OK  74017 
Status CANCELED
Issue Date  07/24/2017 
Renewed Date 07/17/2020
Expire Date  07/31/2021 
End Date  09/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action