TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  MELISSA   SMITH 
Type  Technician 
Number 9329 
City  ELK CITY, OK  73644 
Status License in Good Standing
Issue Date  11/21/2005 
Renewed Date 07/29/2024
Expire Date  07/31/2025 
End Date   

Immunization?

Yes 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action