TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  PATRICIA ANN  BENTON 
Type  Technician 
Number 5573 
City  SHAWNEE, OK  74804 
Status CANCELED
Issue Date  08/02/2001 
Renewed Date 01/13/2004
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