TechDetail

Last Updated:  1/11/2025 7:07:24 PM

Technician Detail               
Name  BETHANY   ROUGHFACE 
Type  Technician 
Number 6491 
City  PONCA CITY, OK  74601 
Status Revoked
Issue Date  08/29/2002 
Renewed Date 09/25/2019
Expire Date  07/31/2020 
End Date  09/01/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
09/23/2020  1599 
Contact Board for more information.