TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  SHANNON   PETERSON 
Type  Technician 
Number 30547 
City  POND CREEK, OK  73766 
Status CANCELED
Issue Date  08/11/2023 
Renewed Date 08/11/2023
Expire Date  07/31/2024 
End Date  08/30/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action