TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  KODIE ALEXIS  DALTON 
Type  Technician 
Number 27620 
City  GLENPOOL, OK  74033 
Status CANCELED
Issue Date  07/13/2021 
Renewed Date 06/27/2022
Expire Date  06/30/2023 
End Date  08/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action