TechDetail

Last Updated:  1/15/2025 5:23:18 AM

Technician Detail               
Name  AMY   BLALOCK 
Type  Technician 
Number 5639 
City  SALLISAW, OK  74955 
Status CANCELED
Issue Date  09/06/2001 
Renewed Date 01/24/2002
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