TechDetail

Last Updated:  5/19/2024 7:06:33 PM

Technician Detail               
Name  MALLORY R.  BLOUNT 
Type  Technician 
Number 22438 
City  LAWTON, OK  73501 
Status CANCELED
Issue Date  12/02/2016 
Renewed Date 12/02/2016
Expire Date  05/31/2017 
End Date  06/30/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action