TechDetail

Last Updated:  12/27/2024 10:12:16 AM

Technician Detail               
Name  SHELBY A  JOHNSON 
Type  Technician 
Number 23646 
City  ADA, OK  74820 
Status CANCELED
Issue Date  01/25/2018 
Renewed Date 08/02/2018
Expire Date  08/31/2019 
End Date  10/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action