Last Updated: 5/5/2024 5:21:49 AM
Technician Detail| Name | BROCK GREEN |
| Type | Technician |
| Number | 27772 |
| City | ADAIR, OK 74330 |
| Status | CANCELED |
| Issue Date | 08/26/2021 |
| Renewed Date | 05/27/2022 |
| Expire Date | 06/30/2023 |
| End Date | 08/01/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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