TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  BETH A.  CROCKETT 
Type  Technician 
Number 357 
City  VINITA, OK  74301 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 02/11/2005
Expire Date  10/31/2005 
End Date  12/01/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action