TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  JACOB   ALLEN 
Type  Technician 
Number 24466 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  10/15/2018 
Renewed Date 05/11/2019
Expire Date  05/31/2020 
End Date  07/02/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action