TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  JACKIE   MOORE 
Type  Technician 
Number 9980 
City  SPENCER, OK  73084 
Status CANCELED
Issue Date  07/18/2006 
Renewed Date 04/30/2020
Expire Date  04/30/2021 
End Date  06/02/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action