TechDetail

Last Updated:  5/3/2024 5:22:06 AM

Technician Detail               
Name  ANGIE   BACKUS 
Type  Technician 
Number 5422 
City  ENID, OK  73703 
Status CANCELED
Issue Date  06/12/2001 
Renewed Date 01/07/2004
Expire Date  01/31/2005 
End Date  03/16/2005 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action