TechDetail

Last Updated:  7/3/2024 5:20:03 AM

Technician Detail               
Name  BRODIE JEAN  BEAVER 
Type  Technician 
Number 2975 
City  NOCROSS, GA  30092 
Status CANCELED
Issue Date  02/05/1998 
Renewed Date 02/05/1998
Expire Date  01/31/1999 
End Date  03/15/1999 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action