TechDetail

Last Updated:  9/16/2024 5:21:12 AM

Technician Detail               
Name  BRANDON S.  WALLACE 
Type  Technician 
Number 9736 
City  CLAREMORE, OK  74018 
Status CANCELED
Issue Date  04/24/2006 
Renewed Date 02/15/2008
Expire Date  02/28/2009 
End Date  03/31/2009 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action