TechDetail

Last Updated:  9/19/2024 5:21:45 AM

Technician Detail               
Name  DAVA   BLACK 
Type  Technician 
Number 954 
City  MCLOUD, OK  74851 
Status CANCELED
Issue Date  06/16/1994 
Renewed Date 08/12/2019
Expire Date  09/30/2020 
End Date  11/01/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action