TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  KENDRA   STOUT 
Type  Technician 
Number 27061 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  02/12/2021 
Renewed Date 02/12/2021
Expire Date  01/31/2022 
End Date  03/03/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action