TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  CHELENA RENEE  MOMAN 
Type  Technician 
Number 5100 
City  WELEETKA, OK  74880 
Status CANCELED
Issue Date  02/14/2001 
Renewed Date 02/16/2001
Expire Date  01/31/2002 
End Date  03/20/2002 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action