TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  PHYLICIA N  HOLLINGSWORTH 
Type  Technician 
Number 24994 
City  MIDWEST CITY, OK  73130 
Status CANCELED
Issue Date  04/10/2019 
Renewed Date 04/10/2019
Expire Date  04/30/2020 
End Date  05/07/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action