Last Updated: 1/11/2025 5:22:19 AM
Technician Detail| Name | KIMBERLY J. FORWOODSON |
| Type | Technician |
| Number | 1528 |
| City | WILBURTON, OK 74578 |
| Status | CANCELED |
| Issue Date | 04/28/1995 |
| Renewed Date | 01/13/2000 |
| Expire Date | 01/31/2001 |
| End Date | 03/15/2001 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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