TechDetail

Last Updated:  7/1/2024 5:20:50 AM

Technician Detail               
Name  KYLIE   FORD 
Type  Technician 
Number 29813 
City  BARTLESVILLE, OK  74006 
Status License in Good Standing
Issue Date  01/13/2023 
Renewed Date 07/03/2023
Expire Date  06/30/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action