TechDetail

Last Updated:  5/4/2024 5:19:28 AM

Technician Detail               
Name  MELLISA R  BAKER 
Type  Technician 
Number 28043 
City  QUAPAW, OK  74363 
Status CANCELED
Issue Date  10/20/2021 
Renewed Date 10/21/2021
Expire Date  04/30/2022 
End Date  06/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action