TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  STACEY   SMITH 
Type  Technician 
Number 2687 
City  SHAWNEE, OK  74801 
Status CANCELED
Issue Date  06/27/1997 
Renewed Date 01/21/1998
Expire Date  01/31/1999 
End Date  03/15/1999 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action