TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  MARIAH   BRANCH 
Type  Technician 
Number 26787 
City  TISHOMINGO, OK  73460 
Status CANCELED
Issue Date  11/20/2020 
Renewed Date 02/12/2021
Expire Date  01/31/2022 
End Date  03/03/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action