Last Updated: 12/21/2024 7:07:07 PM
Technician Detail| Name | KENNEDY HOLT GOFORTH |
| Type | Technician |
| Number | 4907 |
| City | NEWALLA, OK 74857 |
| Status | CANCELED |
| Issue Date | 10/27/2000 |
| Renewed Date | 01/26/2022 |
| Expire Date | 01/31/2023 |
| End Date | 03/03/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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