TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  AMANDA RAE  SHOEMATE 
Type  Technician 
Number 8994 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  07/29/2005 
Renewed Date 05/04/2006
Expire Date  05/31/2007 
End Date  07/02/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action