TechDetail

Last Updated:  9/2/2026 5:34:48 AM

Technician Detail               
Name  MADELYN ELLAREE  FOUNTAIN 
Type  Technician 
Number 31953 
City  BROKEN ARROW, OK  74011 
Status CANCELED
Issue Date  09/05/2024 
Renewed Date 08/15/2025
Expire Date  05/31/2026 
End Date  07/02/2026 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action