TechDetail

Last Updated:  5/4/2024 7:05:07 PM

Technician Detail               
Name  SHELLIE L.  BROTZMAN 
Type  Technician 
Number 294 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 01/18/1996
Expire Date  01/31/1997 
End Date  08/27/1996 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action