TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  ADYSEN   MERTENS 
Type  Technician 
Number 19893 
City  JOPLIN, MO  64801 
Status CANCELED
Issue Date  12/10/2014 
Renewed Date 12/12/2014
Expire Date  11/30/2015 
End Date  12/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action