TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  SAMANTHA   PROCK 
Type  Technician 
Number 12028 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  05/01/2008 
Renewed Date 04/08/2009
Expire Date  01/31/2010 
End Date  03/02/2010 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action