TechDetail

Last Updated:  5/17/2024 7:04:46 PM

Technician Detail               
Name  BETHANY RENEE  HAVEN 
Type  Technician 
Number 23645 
City  BLANCHARD, OK  73010 
Status CANCELED
Issue Date  01/25/2018 
Renewed Date 01/29/2018
Expire Date  12/31/2018 
End Date  02/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action