TechDetail

Last Updated:  12/24/2024 5:22:34 AM

Technician Detail               
Name  STACI   AUSTIN 
Type  Technician 
Number 8306 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  10/15/2004 
Renewed Date 01/20/2005
Expire Date  12/31/2005 
End Date  01/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action