TechDetail

Last Updated:  7/5/2026 7:26:36 PM

Technician Detail               
Name  MALLORY   BROCK 
Type  Technician 
Number 11764 
City  SHAWNEE, OK  74801 
Status CANCELED
Issue Date  02/06/2008 
Renewed Date 02/08/2008
Expire Date  09/30/2008 
End Date  10/31/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action