Last Updated: 6/28/2024 7:07:03 PM
Technician Detail| Name | WILLOW SMITH |
| Type | Technician |
| Number | 25129 |
| City | BROKEN ARROW, OK 74012 |
| Status | CANCELED |
| Issue Date | 05/29/2019 |
| Renewed Date | 09/15/2021 |
| Expire Date | 09/30/2022 |
| End Date | 11/01/2022 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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