TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  ADYSEN   PHELPS 
Type  Technician 
Number 28714 
City  ROLAND, OK  74954 
Status License in Good Standing
Issue Date  03/09/2022 
Renewed Date 12/12/2023
Expire Date  12/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action