TechDetail

Last Updated:  1/16/2025 5:22:28 AM

Technician Detail               
Name  BLAKE   FOWLER 
Type  Technician 
Number 10948 
City  BIXBY, OK  74008 
Status CANCELED
Issue Date  05/25/2007 
Renewed Date 10/31/2008
Expire Date  10/31/2009 
End Date  11/30/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action