TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  KENNEDY ANN  BALLARD 
Type  Technician 
Number 21959 
City  FREDERICK, OK  73542 
Status CANCELED
Issue Date  08/09/2016 
Renewed Date 04/28/2017
Expire Date  04/30/2018 
End Date  06/01/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action