Last Updated: 5/2/2024 5:21:58 AM
Technician Detail| Name | MELISSA KAYLYNN SOUTHERN |
| Type | Technician |
| Number | 4586 |
| City | PRYOR, OK 74361 |
| Status | CANCELED |
| Issue Date | 06/20/2000 |
| Renewed Date | 01/21/2004 |
| 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 | |
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