TechDetail

Last Updated:  12/7/2025 5:23:56 AM

Technician Detail               
Name  REBECCA   MANTOOTH 
Type  Technician 
Number 17088 
City  WAYNE, OK  73095 
Status CANCELED
Issue Date  10/24/2012 
Renewed Date 06/08/2018
Expire Date  02/28/2019 
End Date  04/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action