TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  RICKEY L.  FULGIUM 
Type  Technician 
Number 24891 
City  KETCHUM, OK  74349 
Status CANCELED
Issue Date  03/08/2019 
Renewed Date 03/12/2019
Expire Date  03/31/2020 
End Date  05/02/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action