TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  SUMYR KAE  MOFFITT 
Type  Technician 
Number 28018 
City  WAGONER, OK  74467 
Status CANCELED
Issue Date  10/14/2021 
Renewed Date 10/14/2021
Expire Date  08/31/2022 
End Date  10/03/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action