TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  TAMMY KAY  BASFORD 
Type  Technician 
Number 12115 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  05/30/2008 
Renewed Date 06/02/2008
Expire Date  01/31/2009 
End Date  03/02/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action