TechDetail

Last Updated:  12/21/2024 7:07:07 PM

Technician Detail               
Name  PENNY  JACKSON CHILDERS 
Type  Technician 
Number 3520 
City  PRYOR, OK  74361 
Status CANCELED
Issue Date  02/01/1999 
Renewed Date 12/05/2021
Expire Date  12/31/2022 
End Date  02/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action