TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  EDNA L.  NICKLES 
Type  Technician 
Number 9111 
City  TAHLEQUAH, OK  74464 
Status CANCELED
Issue Date  09/06/2005 
Renewed Date 04/07/2023
Expire Date  04/30/2024 
End Date  06/03/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action