TechDetail

Last Updated:  5/4/2024 7:05:07 PM

Technician Detail               
Name  MAIA   CLARK 
Type  Technician 
Number 30137 
City  ADA, OK  74820 
Status License in Good Standing
Issue Date  05/04/2023 
Renewed Date 08/31/2023
Expire Date  08/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action