TechDetail

Last Updated:  5/4/2024 7:05:07 PM

Technician Detail               
Name  ROBERTA   BURCH 
Type  Technician 
Number 30135 
City  HOWE, OK  74940 
Status CANCELED
Issue Date  05/04/2023 
Renewed Date 05/04/2023
Expire Date  07/31/2023 
End Date  05/15/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action