TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  DONNA KAY  SELF 
Type  Technician 
Number 9100 
City  GUTHRIE, OK  73044 
Status CANCELED
Issue Date  09/01/2005 
Renewed Date 03/07/2007
Expire Date  03/31/2008 
End Date  05/01/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action