TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  BRENDA   SOUTHERLAND 
Type  Technician 
Number 18419 
City  ARDMORE, OK  73401 
Status CANCELED
Issue Date  10/28/2013 
Renewed Date 09/26/2014
Expire Date  09/30/2015 
End Date  10/31/2015 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action