Last Updated: 5/5/2024 5:21:49 AM
Technician Detail| Name | MARRISA CAROL SHAW |
| Type | Technician |
| Number | 5101 |
| City | BLANCHARD, OK 73010 |
| Status | CANCELED |
| Issue Date | 02/14/2001 |
| Renewed Date | 01/27/2021 |
| Expire Date | 01/31/2022 |
| End Date | 03/03/2022 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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