TechDetail

Last Updated:  1/10/2025 7:07:27 PM

Technician Detail               
Name  DOLOR M.  ASSIDIO 
Type  Technician 
Number 16859 
City  BLACKWELL, OK  74631 
Status CANCELED
Issue Date  08/29/2012 
Renewed Date 01/09/2015
Expire Date  08/31/2015 
End Date  09/30/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action