TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  TUCKER   PETERSON 
Type  Technician 
Number 27312 
City  KELLYVILLE, OK  74039 
Status CANCELED
Issue Date  04/16/2021 
Renewed Date 05/18/2022
Expire Date  05/31/2023 
End Date  07/05/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action