Last Updated: 5/6/2024 7:06:46 PM
Technician Detail| Name | MARY ISHAM |
| Type | Technician |
| Number | 3936 |
| City | VIAN, OK 74962 |
| Status | CANCELED |
| Issue Date | 08/12/1999 |
| Renewed Date | 01/24/2018 |
| Expire Date | 02/28/2019 |
| End Date | 04/01/2019 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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