TechDetail

Last Updated:  1/10/2025 7:07:27 PM

Technician Detail               
Name  AMY GALE  SHACKELFORD 
Type  Technician 
Number 13271 
City  APACHE, OK  73006 
Status CANCELED
Issue Date  06/22/2009 
Renewed Date 12/10/2010
Expire Date  01/31/2012 
End Date  03/01/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action