TechDetail

Last Updated:  5/1/2024 7:05:48 PM

Technician Detail               
Name  SHOSHONI K.  PENA 
Type  Technician 
Number 3311 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  08/26/1998 
Renewed Date 02/02/2000
Expire Date  01/31/2001 
End Date  03/15/2001 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action