TechDetail

Last Updated:  12/26/2024 5:23:35 AM

Technician Detail               
Name  AMANDA   TETIK 
Type  Technician 
Number 8056 
City  PERRY, OK  73077 
Status CANCELED
Issue Date  07/07/2004 
Renewed Date 07/15/2005
Expire Date  07/31/2006 
End Date  08/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action