TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  ANGELA   DOUGLASS 
Type  Technician 
Number 25619 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  11/20/2019 
Renewed Date 10/27/2022
Expire Date  10/31/2023 
End Date  12/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action