TechDetail

Last Updated:  5/21/2024 7:04:26 PM

Technician Detail               
Name  MELLISSA JO  MATHIS 
Type  Technician 
Number 1793 
City  CATOOSA, OK  74015 
Status License in Good Standing
Issue Date  12/01/1995 
Renewed Date 07/21/2023
Expire Date  07/31/2024 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action