TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  KYLIE DERECE  COPLEN 
Type  Technician 
Number 27619 
City  STIGLER, OK  74462 
Status CANCELED
Issue Date  07/13/2021 
Renewed Date 11/12/2021
Expire Date  11/30/2022 
End Date  01/04/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action