TechDetail

Last Updated:  5/14/2024 5:21:24 AM

Technician Detail               
Name  STACY V.  PAYNE 
Type  Technician 
Number 5742 
City  PERKINS, OK  74059 
Status CANCELED
Issue Date  10/10/2001 
Renewed Date 01/30/2002
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