TechDetail

Last Updated:  1/8/2025 7:06:21 PM

Technician Detail               
Name  NICOLE   MULLICANE 
Type  Technician 
Number 13513 
City  ADA, OK  74820 
Status Revoked
Issue Date  09/09/2009 
Renewed Date 04/13/2012
Expire Date  04/30/2013 
End Date  01/16/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
01/16/2013  1147 
Contact Board for more information.