TechDetail

Last Updated:  4/28/2024 5:20:30 AM

Technician Detail               
Name  MARY ALICE  BLOSS 
Type  Technician 
Number 30 
City  PARK HILL, OK  74451 
Status CANCELED
Issue Date  02/01/1994 
Renewed Date 01/27/1997
Expire Date  01/31/1998 
End Date  03/02/1998 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action