Last Updated: 1/13/2025 5:21:18 AM
Technician Detail| Name | DONNA BAZE |
| Type | Technician |
| Number | 404 |
| City | RATTAN, OK 74562 |
| Status | CANCELED |
| Issue Date | 02/17/1994 |
| Renewed Date | 01/19/2022 |
| Expire Date | 01/31/2023 |
| End Date | 03/03/2023 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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