TechDetail

Last Updated:  5/15/2024 7:06:35 PM

Technician Detail               
Name  RELINDA   BLACK 
Type  Technician 
Number 5311 
City  MILBURN, OK  73450 
Status CANCELED
Issue Date  05/03/2001 
Renewed Date 12/08/2006
Expire Date  11/30/2007 
End Date  01/02/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action