TechDetail

Last Updated:  12/7/2025 5:23:56 AM

Technician Detail               
Name  ANGELA   MOORE 
Type  Technician 
Number 17104 
City  HAILEYVILLE, OK  74546 
Status CANCELED
Issue Date  10/26/2012 
Renewed Date 04/28/2020
Expire Date  05/31/2021 
End Date  07/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action