TechDetail

Last Updated:  1/10/2025 5:22:07 AM

Technician Detail               
Name  AMANDA L.  BAZE 
Type  Technician 
Number 19342 
City  ALTUS, OK  73521 
Status Revoked
Issue Date  07/18/2014 
Renewed Date 12/18/2016
Expire Date  12/31/2017 
End Date  01/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
03/06/2018  1503 
Contact Board for more information.