Last Updated: 9/18/2024 7:06:08 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 | |
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