TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  SUSAN G.  BAUCOM 
Type  Technician 
Number 1179 
City  MUSTANG, OK  73064 
Status CANCELED
Issue Date  09/06/1994 
Renewed Date 01/23/2003
Expire Date  01/31/2004 
End Date  03/05/2004 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action