Last Updated: 5/18/2024 5:22:36 AM
Technician Detail| Name | NICOLE MARY PROKUP |
| Type | Technician |
| Number | 29261 |
| City | MOORE, OK 73160 |
| Status | CANCELED |
| Issue Date | 08/08/2022 |
| Renewed Date | 01/12/2023 |
| Expire Date | 01/31/2024 |
| End Date | 03/04/2024 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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