TechDetail

Last Updated:  4/6/2026 5:35:25 AM

Technician Detail               
Name  STACEY NICOLE  DERRICK 
Type  Technician 
Number 33122 
City  MUSKOGEE, OK  74401 
Status CANCELED
Issue Date  08/01/2025 
Renewed Date 08/01/2025
Expire Date  12/31/2025 
End Date  02/02/2026 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action