Last Updated: 4/20/2024 5:20:53 AM
Technician Detail| Name | HEATHER DAWN BLACK |
| Type | Technician |
| Number | 2254 |
| City | PERRY, OK 73077 |
| Status | CANCELED |
| Issue Date | 09/23/1996 |
| Renewed Date | 06/03/2010 |
| Expire Date | 06/30/2011 |
| End Date | 07/31/2011 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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