TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  SAMANTHA   STIPE 
Type  Technician 
Number 29091 
City  CLAREMORE, OK  74017 
Status CANCELED
Issue Date  06/17/2022 
Renewed Date 06/17/2022
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