TechDetail

Last Updated:  9/7/2024 7:07:04 PM

Technician Detail               
Name  MARION AGNES  MAENZA 
Type  Technician 
Number 965 
City  OKLAHOMA CITY, OK  73119 
Status CANCELED
Issue Date  06/16/1994 
Renewed Date 06/17/1994
Expire Date  01/31/1995 
End Date  02/24/1995 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action