TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  MANDRIN   SHIMA 
Type  Technician 
Number 15981 
City  MIDWEST CITY, OK  73110 
Status CANCELED
Issue Date  11/01/2011 
Renewed Date 07/06/2012
Expire Date  07/31/2013 
End Date  09/04/2012 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action