TechDetail

Last Updated:  12/22/2024 5:22:09 AM

Technician Detail               
Name  BRENDA GALE  CLARK 
Type  Technician 
Number 9780 
City  POTEAU, OK  74953 
Status CANCELED
Issue Date  05/11/2006 
Renewed Date 02/14/2007
Expire Date  12/31/2007 
End Date  01/31/2008 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action