TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  KYLAH LEA  ROBERTS 
Type  Technician 
Number 9058 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  08/19/2005 
Renewed Date 11/17/2006
Expire Date  12/31/2007 
End Date  01/31/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action