Last Updated: 5/2/2024 5:21:58 AM
Technician Detail| Name | TIFFANY HALL MATALLANA |
| Type | Technician |
| Number | 27204 |
| City | PIEDMONT, OK 73078 |
| Status | License in Good Standing |
| Issue Date | 03/17/2021 |
| Renewed Date | 03/09/2023 |
| Expire Date | 03/31/2024 |
| End Date | |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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