TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  BENJAMIN   EXENDINE 
Type  Technician 
Number 9611 
City  KIEFER, OK  74041 
Status CANCELED
Issue Date  03/14/2006 
Renewed Date 03/15/2006
Expire Date  06/30/2006 
End Date  07/31/2006 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action