TechDetail

Last Updated:  4/11/2026 7:26:19 PM

Technician Detail               
Name  KAYLEEN ALLEXIA  SUGIANTO 
Type  Technician 
Number 30336 
City  ENID, OK  73703 
Status CANCELED
Issue Date  06/23/2023 
Renewed Date 11/19/2023
Expire Date  12/31/2024 
End Date  02/03/2025 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action