Last Updated: 5/7/2024 5:20:21 AM
Technician Detail| Name | TIFFANY ANN CHAMPAGNE |
| Type | Technician |
| Number | 3977 |
| City | CLAREMORE, OK 74018 |
| Status | CANCELED |
| Issue Date | 08/31/1999 |
| Renewed Date | 12/23/1999 |
| 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 | |
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