TechDetail

Last Updated:  3/29/2024 5:20:40 AM

Technician Detail               
Name  BEN   BLACKBURN 
Type  Technician 
Number 702 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  04/15/1994 
Renewed Date 04/27/1994
Expire Date  01/31/1995 
End Date  02/24/1995 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action