Last Updated: 4/29/2024 5:20:32 AM
Technician Detail| Name | KACI RENEE ATASH SHADARAM |
| Type | Technician |
| Number | 29304 |
| City | SHAWNEE, OK 74804 |
| Status | CANCELED |
| Issue Date | 08/18/2022 |
| Renewed Date | 08/18/2022 |
| Expire Date | 05/31/2023 |
| End Date | 07/05/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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