TechDetail

Last Updated:  12/6/2025 7:09:57 PM

Technician Detail               
Name  SAMANTHA   HAWTHORNE 
Type  Technician 
Number 16666 
City  MADILL, OK  73446 
Status CANCELED
Issue Date  07/03/2012 
Renewed Date 01/09/2015
Expire Date  07/31/2015 
End Date  08/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action