Last Updated: 12/23/2024 5:22:52 AM
Technician Detail| Name | BARBARA HAWORTH |
| Type | Technician |
| Number | 8392 |
| City | FT. GIBSON, OK 74434 |
| Status | CANCELED |
| Issue Date | 11/18/2004 |
| Renewed Date | 12/30/2004 |
| Expire Date | 11/30/2005 |
| End Date | 12/30/2005 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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