TechDetail

Last Updated:  12/22/2024 7:09:13 PM

Technician Detail               
Name  BEVERLY   GREEN 
Type  Technician 
Number 9123 
City  LAWTON, OK  73505 
Status CANCELED
Issue Date  09/09/2005 
Renewed Date 03/30/2017
Expire Date  03/31/2018 
End Date  04/30/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action