TechDetail

Last Updated:  7/23/2024 7:04:32 PM

Technician Detail               
Name  MARYLEA   BURGESS 
Type  Technician 
Number 9840 
City  WOODWARD, OK  73801 
Status CANCELED
Issue Date  06/01/2006 
Renewed Date 12/13/2006
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