TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  SAMANTHA   WOMACK 
Type  Technician 
Number 27327 
City  MARLOW, OK  73055 
Status CANCELED
Issue Date  04/16/2021 
Renewed Date 05/07/2021
Expire Date  05/31/2022 
End Date  07/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action