TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  COURTNEY   CLARK 
Type  Technician 
Number 23259 
City  BLANCHARD, OK  73010 
Status CANCELED
Issue Date  09/05/2017 
Renewed Date 10/16/2020
Expire Date  10/31/2021 
End Date  12/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action