TechDetail

Last Updated:  1/15/2025 7:07:01 PM

Technician Detail               
Name  TINA M.  MADDOX 
Type  Technician 
Number 15076 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  01/28/2011 
Renewed Date 01/28/2011
Expire Date  06/30/2011 
End Date  07/31/2011 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action