Last Updated: 5/5/2024 5:21:49 AM
Technician Detail| Name | SANDRA SELF |
| Type | Technician |
| Number | 3254 |
| City | KINGSTON, OK 73439 |
| Status | CANCELED |
| Issue Date | 07/28/1998 |
| Renewed Date | 02/14/2002 |
| Expire Date | 01/31/2003 |
| End Date | 03/07/2003 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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