TechDetail

Last Updated:  4/28/2024 7:04:45 PM

Technician Detail               
Name  POPPY   BURBACH 
Type  Technician 
Number 7865 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  03/25/2004 
Renewed Date 03/23/2007
Expire Date  03/31/2008 
End Date  05/01/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action