Last Updated: 1/20/2026 5:46:11 AM
Technician Detail| Name | AMABEL M. PROVOST |
| Type | Technician |
| Number | 13730 |
| City | BROKEN ARROW, OK 74011 |
| Status | CANCELED |
| Issue Date | 11/17/2009 |
| Renewed Date | 11/17/2009 |
| Expire Date | 09/30/2010 |
| End Date | 10/31/2010 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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