TechDetail

Last Updated:  5/1/2024 7:05:48 PM

Technician Detail               
Name  GRACIE   MYATT 
Type  Technician 
Number 30264 
City  PIEDMONT, OK  73078 
Status License in Good Standing
Issue Date  06/08/2023 
Renewed Date 07/24/2023
Expire Date  08/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action