TechDetail

Last Updated:  6/26/2024 5:19:45 AM

Technician Detail               
Name  SHELBY   ROSE 
Type  Technician 
Number 29065 
City  POCOLA, OK  74902 
Status CANCELED
Issue Date  06/03/2022 
Renewed Date 06/03/2022
Expire Date  04/30/2023 
End Date  06/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action