TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  KIM   SIVARD 
Type  Technician 
Number 3183 
City  BLANCHARD, OK  73010 
Status CANCELED
Issue Date  06/15/1998 
Renewed Date 06/15/1998
Expire Date  01/31/1999 
End Date  03/15/1999 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action