TechDetail

Last Updated:  4/28/2024 5:20:30 AM

Technician Detail               
Name  SHAWNA MARIAH  GREEN 
Type  Technician 
Number 5739 
City  JENNINGS, OK  74038 
Status CANCELED
Issue Date  10/10/2001 
Renewed Date 02/07/2002
Expire Date  01/31/2003 
End Date  03/07/2003 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action