TechDetail

Last Updated:  1/12/2025 7:07:39 PM

Technician Detail               
Name  TRELLIS JEAN  BASHAM 
Type  Technician 
Number 3618 
City  HULBERT, OK  74441 
Status CANCELED
Issue Date  02/26/1999 
Renewed Date 12/28/2001
Expire Date  01/31/2003 
End Date  03/07/2003 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action