TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  NICOLE   SMITH 
Type  Technician 
Number 31044 
City  BROKEN BOW, OK  74728 
Status CANCELED
Issue Date  12/15/2023 
Renewed Date 12/15/2023
Expire Date  03/31/2024 
End Date  02/11/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action