TechDetail

Last Updated:  4/25/2024 7:07:13 PM

Technician Detail               
Name  FALLON   WARD 
Type  Technician 
Number 9934 
City  HOLDENVILLE, OK  74848 
Status Revoked
Issue Date  06/29/2006 
Renewed Date 11/15/2016
Expire Date  11/30/2017 
End Date  10/04/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
10/04/2017  1478 
Contact Board for more information.