TechDetail

Last Updated:  12/26/2024 7:08:05 PM

Technician Detail               
Name  TREVER   BLANCO 
Type  Technician 
Number 22589 
City  ADA, OK  74820 
Status Revoked
Issue Date  01/26/2017 
Renewed Date 06/01/2017
Expire Date  07/31/2018 
End Date  11/29/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
11/29/2017  1485 
Contact Board for more information.