TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  ZOE   BAISSA 
Type  Technician 
Number 17560 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  03/12/2013 
Renewed Date 03/14/2013
Expire Date  01/31/2014 
End Date  03/03/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action