TechDetail

Last Updated:  5/5/2024 5:21:49 AM

Technician Detail               
Name  DAZJA   TOWNSEND 
Type  Technician 
Number 30062 
City  IDABEL, OK  74745 
Status CANCELED
Issue Date  03/30/2023 
Renewed Date 03/31/2023
Expire Date  12/31/2023 
End Date  04/17/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action