TechDetail

Last Updated:  6/25/2024 5:19:45 AM

Technician Detail               
Name  PAULA RENEE  BROCK 
Type  Technician 
Number 2301 
City  PRYOR, OK  74361 
Status CANCELED
Issue Date  10/28/1996 
Renewed Date 01/14/1999
Expire Date  01/31/2000 
End Date  03/10/2000 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action