Last Updated: 1/9/2025 7:06:45 PM
Technician Detail| Name | STACY LYNN ANDERSEN |
| Type | Technician |
| Number | 22261 |
| City | VINITA, OK 74301 |
| Status | CANCELED |
| Issue Date | 10/31/2016 |
| Renewed Date | 07/02/2018 |
| Expire Date | 05/31/2019 |
| End Date | 07/01/2019 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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