Last Updated: 7/8/2024 5:22:07 AM
Technician Detail| Name | PHYLLIS RENEE SIDENER |
| Type | Technician |
| Number | 18439 |
| City | MIAMI, OK 74354 |
| Status | CANCELED |
| Issue Date | 10/30/2013 |
| Renewed Date | 12/15/2020 |
| Expire Date | 12/31/2021 |
| End Date | 02/08/2022 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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