TechDetail

Last Updated:  4/30/2024 7:05:25 PM

Technician Detail               
Name  CARLY   BENNETT 
Type  Technician 
Number 2892 
City  PONCA CITY, OK  74604 
Status CANCELED
Issue Date  01/13/1998 
Renewed Date 03/27/1998
Expire Date  01/31/1999 
End Date  03/15/1999 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action