Last Updated: 5/1/2024 7:05:48 PM
Technician Detail| Name | BRANDON MATALLANA |
| Type | Technician |
| Number | 27203 |
| City | PIEDMONT, OK 73078 |
| Status | CANCELED |
| Issue Date | 03/17/2021 |
| Renewed Date | 12/19/2022 |
| Expire Date | 12/31/2023 |
| End Date | 02/02/2024 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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