TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  STEPHANIE   BLACKMON 
Type  Technician 
Number 23075 
City  TULSA, OK  74106 
Status Revoked
Issue Date  07/10/2017 
Renewed Date 08/20/2018
Expire Date  08/31/2019 
End Date  08/14/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
08/14/2019  1562 
Contact Board for more information.