TechDetail

Last Updated:  12/26/2024 5:23:35 AM

Technician Detail               
Name  MELANNIE   MACENTIRE 
Type  Technician 
Number 8071 
City  PLATTER, OK  74753 
Status CANCELED
Issue Date  07/09/2004 
Renewed Date 01/31/2006
Expire Date  01/31/2007 
End Date  03/02/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action