TechDetail

Last Updated:  1/11/2025 5:22:19 AM

Technician Detail               
Name  NOVA E.  BRANSCUM 
Type  Technician 
Number 628 
City  WISTER, OK  74966 
Status License in Good Standing
Issue Date  03/24/1994 
Renewed Date 10/08/2024
Expire Date  10/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action