TechDetail

Last Updated:  5/11/2024 7:05:18 PM

Technician Detail               
Name  STACEY L  HENDERSHOT 
Type  Technician 
Number 23801 
City  TUSKAHOMA, OK  74574 
Status License in Good Standing
Issue Date  03/14/2018 
Renewed Date 01/30/2024
Expire Date  01/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action