TechDetail

Last Updated:  9/7/2024 7:07:04 PM

Technician Detail               
Name  KIMBERLY M.  ROSE 
Type  Technician 
Number 9643 
City  SHAWNEE, OK  74804 
Status CANCELED
Issue Date  03/28/2006 
Renewed Date 12/18/2014
Expire Date  12/31/2015 
End Date  01/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action