TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  HEATHER   BLACK 
Type  Technician 
Number 5849 
City  OKLAHOMA CITY, OK  73170 
Status CANCELED
Issue Date  01/11/2002 
Renewed Date 05/06/2011
Expire Date  04/30/2012 
End Date  05/31/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action