TechDetail

Last Updated:  5/11/2024 5:19:40 AM

Technician Detail               
Name  AMBER   PURSIVILLE 
Type  Technician 
Number 23850 
City  ADA, OK  74820 
Status CANCELED
Issue Date  03/22/2018 
Renewed Date 09/11/2018
Expire Date  08/31/2019 
End Date  10/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action