TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  MICHELE   FREDRICKSON 
Type  Technician 
Number 6406 
City  HEAVENER, OK  74937 
Status CANCELED
Issue Date  07/25/2002 
Renewed Date 12/31/2003
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action