Last Updated: 4/27/2024 5:20:44 AM
Technician Detail| Name | MICHELLE RENEE' BAKEN |
| Type | Technician |
| Number | 4719 |
| City | TISHOMINGO, OK 73460 |
| Status | CANCELED |
| Issue Date | 08/15/2000 |
| Renewed Date | 08/18/2000 |
| Expire Date | 01/31/2001 |
| End Date | 03/15/2001 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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