TechDetail

Last Updated:  12/19/2025 7:10:42 PM

Technician Detail               
Name  AMANDA   WAGNER 
Type  Technician 
Number 15494 
City  NICOMA PARK, OK  73066 
Status CANCELED
Issue Date  06/14/2011 
Renewed Date 02/26/2017
Expire Date  02/28/2018 
End Date  03/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action