TechDetail

Last Updated:  4/29/2024 5:20:32 AM

Technician Detail               
Name  MAX   CLARK 
Type  Technician 
Number 30528 
City  BROKEN ARROW, OK  74012 
Status CANCELED
Issue Date  08/11/2023 
Renewed Date 08/11/2023
Expire Date  02/29/2024 
End Date  04/01/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action