TechDetail

Last Updated:  12/24/2024 5:22:34 AM

Technician Detail               
Name  SHELLEY D.  VANDERVORT 
Type  Technician 
Number 832 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  05/20/1994 
Renewed Date 02/01/1999
Expire Date  01/31/2000 
End Date  03/10/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action