TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  ANJELICA   PANTOJA 
Type  Technician 
Number 30652 
City  FREDERICK, OK  73542 
Status CANCELED
Issue Date  08/31/2023 
Renewed Date 09/01/2023
Expire Date  03/31/2024 
End Date  05/01/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action