TechDetail

Last Updated:  12/23/2024 5:22:52 AM

Technician Detail               
Name  AMALIA   ALLEN 
Type  Technician 
Number 9209 
City  MANGUM, OK  73554 
Status Revoked
Issue Date  10/11/2005 
Renewed Date 04/08/2009
Expire Date  04/30/2010 
End Date  05/31/2010 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
06/23/2010  968 
Contact Board for more information.