Last Updated: 5/11/2024 7:05:18 PM
Technician Detail| Name | SHAUNA JACKSON |
| Type | Technician |
| Number | 2604 |
| City | BROKEN BOW, OK 74728 |
| Status | CANCELED |
| Issue Date | 05/07/1997 |
| Renewed Date | 01/20/1998 |
| Expire Date | 01/31/1999 |
| End Date | 02/17/1998 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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