TechDetail

Last Updated:  10/4/2024 7:08:28 PM

Technician Detail               
Name  MELISSA R  BURGESS 
Type  Technician 
Number 4846 
City  BROKEN ARROW, OK  74014 
Status CANCELED
Issue Date  10/03/2000 
Renewed Date 01/30/2001
Expire Date  01/31/2002 
End Date  03/20/2002 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action