TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  MATTHEW SHANE  COCKRELL 
Type  Technician 
Number 29664 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  12/06/2022 
Renewed Date 12/07/2022
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