TechDetail

Last Updated:  12/24/2024 7:08:15 PM

Technician Detail               
Name  MELANIE MAE  TIETZE 
Type  Technician 
Number 8256 
City  GROVE, OK  74344 
Status CANCELED
Issue Date  09/22/2004 
Renewed Date 02/25/2015
Expire Date  02/29/2016 
End Date  03/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action