TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  KIMBERLY ANN  STACK 
Type  Technician 
Number 29089 
City  MCALESTER, OK  74501 
Status CANCELED
Issue Date  06/17/2022 
Renewed Date 11/08/2022
Expire Date  11/30/2023 
End Date  01/08/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action