TechDetail

Last Updated:  5/4/2024 5:19:28 AM

Technician Detail               
Name  CHARLOTTE RENE'  STATON 
Type  Technician 
Number 4140 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  11/17/1999 
Renewed Date 01/23/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action