TechDetail

Last Updated:  4/26/2024 7:08:31 PM

Technician Detail               
Name  RICHDEL GRACE  GENCIANEO 
Type  Technician 
Number 27564 
City  DURANT, OK  74701 
Status CANCELED
Issue Date  06/18/2021 
Renewed Date 03/03/2022
Expire Date  01/31/2023 
End Date  03/03/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action