TechDetail

Last Updated:  5/8/2024 7:06:25 PM

Technician Detail               
Name  SANDRA G.  ROSE 
Type  Technician 
Number 5796 
City  KINGSTON, OK  73439 
Status CANCELED
Issue Date  11/29/2001 
Renewed Date 01/24/2002
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