Last Updated: 5/11/2024 7:05:18 PM
Technician Detail| Name | BLAKE COUNTRYMAN |
| Type | Technician |
| Number | 23840 |
| City | BIXBY, OK 74008 |
| Status | CANCELED |
| Issue Date | 03/22/2018 |
| Renewed Date | 11/13/2018 |
| Expire Date | 11/30/2019 |
| End Date | 12/30/2019 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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