TechDetail

Last Updated:  1/10/2025 5:22:07 AM

Technician Detail               
Name  NICOLE MARIE  KEENUM 
Type  Technician 
Number 27678 
City  ALTUS, OK  73521 
Status License in Good Standing
Issue Date  07/30/2021 
Renewed Date 12/04/2024
Expire Date  11/30/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action