TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  MACKENZIE P  BLACK 
Type  Technician 
Number 24173 
City  EDMOND, OK  73013 
Status CANCELED
Issue Date  07/10/2018 
Renewed Date 01/17/2019
Expire Date  02/29/2020 
End Date  03/30/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action