TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  JORDAN MACKENZIE  DAVIS 
Type  Technician 
Number 22125 
City  WILBURTON, OK  74578 
Status CANCELED
Issue Date  09/12/2016 
Renewed Date 11/26/2016
Expire Date  11/30/2017 
End Date  12/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action