TechDetail

Last Updated:  1/7/2025 7:08:41 PM

Technician Detail               
Name  BREANNA MICHELLE  WALCK 
Type  Technician 
Number 31576 
City  ADA, OK  74820 
Status CANCELED
Issue Date  05/15/2024 
Renewed Date 05/16/2024
Expire Date  11/30/2024 
End Date  01/03/2025 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action