TechDetail

Last Updated:  12/23/2024 5:22:52 AM

Technician Detail               
Name  MATTHEW C.  SAMPLE 
Type  Technician 
Number 9235 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  10/17/2005 
Renewed Date 05/17/2011
Expire Date  06/30/2012 
End Date  12/09/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action