TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  BREIA   WILLAFORD 
Type  Technician 
Number 17166 
City  PONCA CITY, OK  74604 
Status CANCELED
Issue Date  11/14/2012 
Renewed Date 11/03/2021
Expire Date  10/31/2022 
End Date  11/30/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action