TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  MARY MARQUEZ  CRUZ 
Type  Technician 
Number 16919 
City  ADA, OK  74820 
Status CANCELED
Issue Date  09/24/2012 
Renewed Date 12/31/2012
Expire Date  12/31/2013 
End Date  01/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action