TechDetail

Last Updated:  1/10/2025 7:07:27 PM

Technician Detail               
Name  KENEDI   MODE 
Type  Technician 
Number 18935 
City  WISTER, OK  74966 
Status CANCELED
Issue Date  03/26/2014 
Renewed Date 03/16/2019
Expire Date  03/31/2020 
End Date  05/02/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action