TechDetail

Last Updated:  1/13/2025 5:21:18 AM

Technician Detail               
Name  AMY   TAVERNIA 
Type  Technician 
Number 1669 
City  BARTLESVILLE, OK  74003 
Status CANCELED
Issue Date  08/11/1995 
Renewed Date 01/30/1996
Expire Date  01/31/1997 
End Date  03/27/1997 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action