TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  NIKALA   BACON 
Type  Technician 
Number 20638 
City  POTEAU, OK  74953 
Status CANCELED
Issue Date  07/09/2015 
Renewed Date 05/20/2019
Expire Date  05/31/2020 
End Date  07/02/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action