TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  BRYAN A.  BLACKBURN 
Type  Technician 
Number 1143 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  08/19/1994 
Renewed Date 02/14/1996
Expire Date  01/31/1997 
End Date  03/27/1997 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action