TechDetail

Last Updated:  9/18/2024 7:06:08 PM

Technician Detail               
Name  AMANDA KAILA  MONTGOMERY 
Type  Technician 
Number 13435 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  08/13/2009 
Renewed Date 07/19/2023
Expire Date  07/31/2024 
End Date  09/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action