TechDetail

Last Updated:  5/6/2024 5:22:02 AM

Technician Detail               
Name  CHEYENNE MARIE  PATRICK 
Type  Technician 
Number 30752 
City  RAVIA, OK  73455 
Status License in Good Standing
Issue Date  10/04/2023 
Renewed Date 12/11/2023
Expire Date  12/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action