TechDetail

Last Updated:  5/13/2024 5:20:30 AM

Technician Detail               
Name  BROOK FAWN  WOODWORTH 
Type  Technician 
Number 24771 
City  DEWEY, OK  74029 
Status CANCELED
Issue Date  01/16/2019 
Renewed Date 01/18/2019
Expire Date  09/30/2019 
End Date  11/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action