TechDetail

Last Updated:  1/9/2025 7:06:45 PM

Technician Detail               
Name  NIQUITA   BASALDUA 
Type  Technician 
Number 18282 
City  ALTUS, OK  73521 
Status CANCELED
Issue Date  09/23/2013 
Renewed Date 01/07/2021
Expire Date  02/28/2022 
End Date  04/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action