TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  SAMANTHA   VAN TASSELL 
Type  Technician 
Number 29311 
City  FORT SILL, OK  73503 
Status CANCELED
Issue Date  08/18/2022 
Renewed Date 08/18/2022
Expire Date  08/31/2023 
End Date  10/02/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action