TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  BRENDA MARIE  SHORES 
Type  Technician 
Number 2210 
City  NASHOBA, OK  74558 
Status CANCELED
Issue Date  08/26/1996 
Renewed Date 06/26/2014
Expire Date  06/30/2015 
End Date  07/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action