TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  SAMANTHA BAYLEIGH  JERNIGAN 
Type  Technician 
Number 24665 
City  BARTLESVILLE, OK  74003 
Status CANCELED
Issue Date  12/07/2018 
Renewed Date 08/26/2021
Expire Date  08/31/2022 
End Date  10/03/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action