Last Updated: 5/16/2024 5:21:04 AM
Technician Detail| Name | JENNA BOST |
| Type | Technician |
| Number | 25155 |
| City | ALTUS, OK 73521 |
| Status | CANCELED |
| Issue Date | 06/07/2019 |
| Renewed Date | 10/18/2019 |
| Expire Date | 10/31/2020 |
| End Date | 11/30/2020 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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