Last Updated: 5/11/2024 5:19:40 AM
Technician Detail| Name | KATELYN RUSSELL |
| Type | Technician |
| Number | 23856 |
| City | FORT GIBSON, OK 74434 |
| Status | CANCELED |
| Issue Date | 03/22/2018 |
| Renewed Date | 10/19/2020 |
| Expire Date | 10/31/2021 |
| End Date | 12/01/2021 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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