TechDetail

Last Updated:  5/4/2024 7:05:07 PM

Technician Detail               
Name  KELSIE   JACKSON 
Type  Technician 
Number 23341 
City  BROKEN BOW, OK  74728 
Status CANCELED
Issue Date  09/21/2017 
Renewed Date 03/15/2018
Expire Date  04/30/2019 
End Date  05/31/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action