TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  AMANDA ROSE  MARTIN 
Type  Technician 
Number 8731 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  04/21/2005 
Renewed Date 04/22/2005
Expire Date  04/30/2006 
End Date  05/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action