TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  MELINA   BROCKUP 
Type  Technician 
Number 26314 
City  CLAREMORE, OK  74017 
Status License in Good Standing
Issue Date  07/08/2020 
Renewed Date 09/20/2023
Expire Date  09/30/2024 
End Date   

Immunization?

Yes 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action