TechDetail

Last Updated:  5/5/2024 5:21:49 AM

Technician Detail               
Name  KELSEY DOMONIQUE RAYNE  CRUTISON 
Type  Technician 
Number 29423 
City  EDMOND, OK  73025 
Status CANCELED
Issue Date  09/29/2022 
Renewed Date 11/29/2022
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