TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  KIRK DOUGLAS  KELLAM 
Type  Technician 
Number 20657 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  07/16/2015 
Renewed Date 01/19/2018
Expire Date  12/31/2018 
End Date  02/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action