TechDetail

Last Updated:  5/13/2024 5:20:30 AM

Technician Detail               
Name  REBECCA   SOUKUP 
Type  Technician 
Number 401 
City  AGRA, OK  74824 
Status CANCELED
Issue Date  02/16/1994 
Renewed Date 06/29/2007
Expire Date  06/30/2008 
End Date  06/30/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action