TechDetail

Last Updated:  5/9/2024 7:05:07 PM

Technician Detail               
Name  MATTILYN   SELF 
Type  Technician 
Number 29887 
City  STIGLER, OK  74462 
Status License in Good Standing
Issue Date  02/03/2023 
Renewed Date 11/27/2023
Expire Date  11/30/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action