TechDetail

Last Updated:  5/1/2024 7:05:48 PM

Technician Detail               
Name  DEREK ALLEN  DENNIS 
Type  Technician 
Number 4654 
City  MARLOW, OK  73055 
Status CANCELED
Issue Date  07/19/2000 
Renewed Date 07/21/2000
Expire Date  01/31/2001 
End Date  10/02/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action