TechDetail

Last Updated:  5/16/2024 5:21:04 AM

Technician Detail               
Name  CHARLYN S.  DERRICK 
Type  Technician 
Number 8451 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  12/16/2004 
Renewed Date 09/08/2006
Expire Date  08/31/2007 
End Date  10/01/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action