TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  AMANDA KAE  SHORT 
Type  Technician 
Number 4859 
City  KEOTA, OK  74941 
Status CANCELED
Issue Date  10/03/2000 
Renewed Date 10/03/2000
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