Last Updated: 5/6/2026 7:21:46 PM
Technician Detail| Name | MANDY RAE BLACK |
| Type | Technician |
| Number | 2039 |
| City | OKLAHOMA CITY, OK 73159 |
| Status | CANCELED |
| Issue Date | 05/07/1996 |
| Renewed Date | 05/10/1996 |
| Expire Date | 01/31/1997 |
| End Date | 03/27/1997 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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