TechDetail

Last Updated:  12/6/2025 7:09:57 PM

Technician Detail               
Name  MICHAEL JUSTIN  BENTON 
Type  Technician 
Number 17134 
City  TULSA, OK  74136 
Status CANCELED
Issue Date  11/08/2012 
Renewed Date 11/09/2012
Expire Date  09/30/2013 
End Date  10/31/2013 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action