TechDetail

Last Updated:  6/1/2024 7:04:28 PM

Technician Detail               
Name  MATHIS   NEWSOM 
Type  Technician 
Number 23653 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  01/25/2018 
Renewed Date 01/29/2018
Expire Date  04/30/2018 
End Date  06/01/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action