TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  MERLIN MARY  JACOB 
Type  Technician 
Number 17332 
City  TULSA, OK  74133 
Status CANCELED
Issue Date  01/03/2013 
Renewed Date 01/04/2013
Expire Date  01/31/2014 
End Date  03/03/2014 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action