TechDetail

Last Updated:  5/5/2024 5:21:49 AM

Technician Detail               
Name  ANNA   RANDOLPH 
Type  Technician 
Number 29593 
City  COLLINSVILLE, OK  74021 
Status CANCELED
Issue Date  11/01/2022 
Renewed Date 11/02/2022
Expire Date  07/31/2023 
End Date  09/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action