Last Updated: 4/25/2024 7:07:13 PM
Technician Detail| Name | ELLEN BRUNETTE MIZE |
| Type | Technician |
| Number | 6981 |
| City | SAPULPA, OK 74066 |
| Status | CANCELED |
| Issue Date | 04/01/2003 |
| Renewed Date | 10/29/2015 |
| Expire Date | 10/31/2016 |
| End Date | 11/30/2016 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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