Last Updated: 9/9/2026 5:33:52 AM
Technician Detail| Name | BRECKEN MARIE FORSETH |
| Type | Technician |
| Number | 25861 |
| City | WAGONER, OK 74467 |
| Status | CANCELED |
| Issue Date | 02/21/2020 |
| Renewed Date | 02/21/2020 |
| Expire Date | 10/31/2020 |
| End Date | 04/08/2020 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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