Last Updated: 12/22/2024 5:22:09 AM
Technician Detail| Name | KAREN PROVENZANO |
| Type | Technician |
| Number | 8684 |
| City | CLAREMORE, OK 74019 |
| Status | CANCELED |
| Issue Date | 03/29/2005 |
| Renewed Date | 04/01/2005 |
| Expire Date | 03/31/2006 |
| End Date | 05/01/2006 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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