TechDetail

Last Updated:  5/16/2024 5:21:04 AM

Technician Detail               
Name  PATIENCE   BAUCOM 
Type  Technician 
Number 26540 
City  MEAD, OK  73449 
Status CANCELED
Issue Date  09/22/2020 
Renewed Date 11/24/2020
Expire Date  11/30/2021 
End Date  01/04/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action