TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  ADDISON   FULTZ 
Type  Technician 
Number 26983 
City  HASKELL, OK  74436 
Status CANCELED
Issue Date  02/01/2021 
Renewed Date 02/01/2021
Expire Date  05/31/2021 
End Date  07/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action