TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  NICHOLE DAWN  MATHENA 
Type  Technician 
Number 4772 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  08/24/2000 
Renewed Date 12/14/2009
Expire Date  12/31/2010 
End Date  01/31/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action