TechDetail

Last Updated:  5/2/2024 7:07:06 PM

Technician Detail               
Name  MISTY NICOLE  OTTESEN 
Type  Technician 
Number 6913 
City  GROVE, OK  74345 
Status CANCELED
Issue Date  02/28/2003 
Renewed Date 12/22/2004
Expire Date  10/31/2005 
End Date  12/01/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action