TechDetail

Last Updated:  1/10/2025 5:22:07 AM

Technician Detail               
Name  JILL   MENCKE 
Type  Technician 
Number 21869 
City  AMES, OK  73718 
Status CANCELED
Issue Date  07/05/2016 
Renewed Date 07/06/2016
Expire Date  01/31/2017 
End Date  03/02/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action