TechDetail

Last Updated:  5/1/2024 5:20:47 AM

Technician Detail               
Name  STACY   STANFORD 
Type  Technician 
Number 3994 
City  ATOKA, OK  74525 
Status CANCELED
Issue Date  09/13/1999 
Renewed Date 01/19/2000
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