TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  THEA L  NYSTROM 
Type  Technician 
Number 29644 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  11/17/2022 
Renewed Date 11/18/2022
Expire Date  09/30/2023 
End Date  11/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action