TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  MICHELLE SUZANNE  WILCZEK 
Type  Technician 
Number 19904 
City  WATONGA, OK  73772 
Status CANCELED
Issue Date  12/10/2014 
Renewed Date 11/03/2015
Expire Date  12/31/2016 
End Date  01/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action