TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  NISSY MARY  SKARIAH 
Type  Technician 
Number 14635 
City  YUKON, OK  73099 
Status CANCELED
Issue Date  09/15/2010 
Renewed Date 06/15/2012
Expire Date  06/30/2013 
End Date  09/04/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action