TechDetail

Last Updated:  4/29/2024 5:20:32 AM

Technician Detail               
Name  JACKLYN X  ENRIQUEZ 
Type  Technician 
Number 30485 
City  GUTHRIE, OK  73044 
Status License in Good Standing
Issue Date  08/01/2023 
Renewed Date 11/14/2023
Expire Date  12/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action