TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  DONNA MEDLIN  FONVILLE 
Type  Technician 
Number 24790 
City  STRINGTOWN, OK  74569 
Status CANCELED
Issue Date  01/31/2019 
Renewed Date 06/06/2022
Expire Date  06/30/2023 
End Date  08/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action