TechDetail

Last Updated:  1/5/2025 7:07:29 PM

Technician Detail               
Name  BROCK   GREEN 
Type  Technician 
Number 27772 
City  ADAIR, OK  74330 
Status CANCELED
Issue Date  08/26/2021 
Renewed Date 05/27/2022
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