TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  MEGAN MARIE  BAUCOM 
Type  Technician 
Number 21653 
City  MANNFORD, OK  74044 
Status License in Good Standing
Issue Date  04/29/2016 
Renewed Date 06/02/2024
Expire Date  06/30/2025 
End Date   

Immunization?

Yes 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action