TechDetail

Last Updated:  6/28/2024 7:07:03 PM

Technician Detail               
Name  AMANDA JEAN  SMITH 
Type  Technician 
Number 23630 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  01/16/2018 
Renewed Date 06/13/2022
Expire Date  07/31/2023 
End Date  09/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action