Last Updated: 5/4/2024 5:19:28 AM
Technician Detail| Name | GWENDOLYN PROVO |
| Type | Technician |
| Number | 3361 |
| City | POTEAU, OK 74953 |
| Status | CANCELED |
| Issue Date | 10/01/1998 |
| Renewed Date | 01/22/1999 |
| Expire Date | 01/31/2000 |
| End Date | 03/10/2000 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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