TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  MADISON   WIEBE 
Type  Technician 
Number 26425 
City  MUSKOGEE, OK  74403 
Status CANCELED
Issue Date  08/06/2020 
Renewed Date 06/07/2022
Expire Date  06/30/2023 
End Date  08/01/2023 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action