Last Updated: 5/30/2026 5:59:46 AM
Technician Detail| Name | KIM ELAINE PENICK |
| Type | Technician |
| Number | 14409 |
| City | WAGONER, OK 74467 |
| Status | CANCELED |
| Issue Date | 07/08/2010 |
| Renewed Date | 11/08/2011 |
| Expire Date | 10/31/2012 |
| End Date | 11/30/2012 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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