TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  JERRI   GRUBB-CODY 
Type  Technician 
Number 5540 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  07/23/2001 
Renewed Date 01/09/2004
Expire Date  01/31/2005 
End Date  09/03/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action