TechDetail

Last Updated:  12/27/2024 10:12:16 AM

Technician Detail               
Name  BRENNON DAVID  IVEY 
Type  Technician 
Number 15965 
City  ADA, OK  74820 
Status CANCELED
Issue Date  10/31/2011 
Renewed Date 12/30/2011
Expire Date  12/31/2012 
End Date  01/31/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action