TechDetail

Last Updated:  12/26/2024 5:23:35 AM

Technician Detail               
Name  FALLON KAY  COUCH 
Type  Technician 
Number 8050 
City  CLAYTON, OK  74536 
Status CANCELED
Issue Date  07/07/2004 
Renewed Date 09/10/2009
Expire Date  09/30/2010 
End Date  10/31/2010 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action