TechDetail

Last Updated:  5/16/2024 7:04:50 PM

Technician Detail               
Name  VICTORIA   DIVITA 
Type  Technician 
Number 17172 
City  SKIATOOK, OK  74070 
Status CANCELED
Issue Date  11/15/2012 
Renewed Date 09/09/2013
Expire Date  09/30/2014 
End Date  10/31/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action