TechDetail

Last Updated:  1/12/2025 5:22:50 AM

Technician Detail               
Name  EMILY   BANTA 
Type  Technician 
Number 6449 
City  WETUMKA, OK  74883 
Status CANCELED
Issue Date  08/13/2002 
Renewed Date 08/16/2002
Expire Date  01/31/2003 
End Date  03/07/2003 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action