Last Updated: 1/12/2025 7:07:39 PM
Technician Detail| Name | LANA D BAUCOM |
| Type | Technician |
| Number | 3659 |
| City | OKMULGEE, OK 74447 |
| Status | CANCELED |
| Issue Date | 03/19/1999 |
| Renewed Date | 03/19/1999 |
| Expire Date | 01/31/2000 |
| End Date | 03/10/2000 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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