TechDetail

Last Updated:  5/3/2024 7:04:33 PM

Technician Detail               
Name  MICHELLE   BALVANZ 
Type  Technician 
Number 31256 
City  LAWTON, OK  73507 
Status License in Good Standing
Issue Date  02/26/2024 
Renewed Date 02/26/2024
Expire Date  02/28/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action