Last Updated: 7/3/2024 5:20:03 AM
Technician Detail| Name | MARIAH BERGEN |
| Type | Technician |
| Number | 29742 |
| City | MOORE, OK 73160 |
| Status | CANCELED |
| Issue Date | 12/28/2022 |
| Renewed Date | 12/28/2022 |
| Expire Date | 08/31/2023 |
| End Date | 10/02/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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