TechDetail

Last Updated:  1/13/2025 5:21:18 AM

Technician Detail               
Name  VIRGINIA   HAGGBLOM 
Type  Technician 
Number 17466 
City  BARTLESVILLE, OK  74006 
Status CANCELED
Issue Date  02/07/2013 
Renewed Date 10/04/2014
Expire Date  11/30/2015 
End Date  12/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action