TechDetail

Last Updated:  5/1/2024 7:05:48 PM

Technician Detail               
Name  ADDYSON   ANGEL 
Type  Technician 
Number 30732 
City  JENKS, OK  74037 
Status CANCELED
Issue Date  10/04/2023 
Renewed Date 10/05/2023
Expire Date  12/31/2023 
End Date  11/20/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action