TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  BRYANNA   BLACKBURN 
Type  Technician 
Number 28227 
City  SASAKWA, OK  74867 
Status Revoked
Issue Date  11/18/2021 
Renewed Date 02/06/2023
Expire Date  02/29/2024 
End Date  09/27/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
09/27/2023  1669 
Contact Board for more information.