TechDetail

Last Updated:  12/17/2025 7:10:50 PM

Technician Detail               
Name  ANGELA M.  MACK 
Type  Technician 
Number 15507 
City  WAUKOMIS, OK  73773 
Status CANCELED
Issue Date  06/16/2011 
Renewed Date 06/17/2011
Expire Date  06/30/2012 
End Date  07/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action