TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  CARLY PAIGE  ENNIS 
Type  Technician 
Number 22493 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  12/20/2016 
Renewed Date 05/31/2018
Expire Date  06/30/2019 
End Date  07/31/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action