TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  AVA   KLOCH 
Type  Technician 
Number 5646 
City  SAPULPA, OK  74066 
Status Revoked
Issue Date  09/06/2001 
Renewed Date 03/01/2010
Expire Date  03/31/2011 
End Date  08/18/2010 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
08/18/2010  985 
Contact Board for more information.