TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  TARAH   OTTERSTAD 
Type  Technician 
Number 8634 
City  MOORE, OK  73160 
Status CANCELED
Issue Date  03/07/2005 
Renewed Date 06/03/2005
Expire Date  05/31/2006 
End Date  06/30/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action