TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  TAMISHA N  CARBONELL 
Type  Technician 
Number 19498 
City  BROKEN ARROW, OK  74102 
Status License in Good Standing
Issue Date  09/02/2014 
Renewed Date 03/20/2024
Expire Date  03/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action