TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  STACY   TALLENT 
Type  Technician 
Number 23659 
City  CHICKASHA, OK  73018 
Status CANCELED
Issue Date  01/25/2018 
Renewed Date 01/29/2018
Expire Date  08/31/2018 
End Date  10/01/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action