TechDetail

Last Updated:  6/25/2024 7:04:26 PM

Technician Detail               
Name  AMITY CALLISTA  ROLLER 
Type  Technician 
Number 15549 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  07/01/2011 
Renewed Date 03/21/2012
Expire Date  03/31/2013 
End Date  04/30/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action