TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  JACQUELINE   BARRIENTOS 
Type  Technician 
Number 30405 
City  MUSTANG, OK  73064 
Status CANCELED
Issue Date  07/07/2023 
Renewed Date 07/07/2023
Expire Date  07/31/2024 
End Date  09/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action