TechDetail

Last Updated:  6/26/2024 5:19:45 AM

Technician Detail               
Name  PEGGY L.  CLARK 
Type  Technician 
Number 2907 
City  GROVE, OK  74344 
Status CANCELED
Issue Date  02/02/1998 
Renewed Date 01/09/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action