TechDetail

Last Updated:  5/8/2024 7:06:25 PM

Technician Detail               
Name  SANISH KUMAR  APPUKUTTAN 
Type  Technician 
Number 19608 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  09/24/2014 
Renewed Date 11/18/2015
Expire Date  11/30/2016 
End Date  12/31/2016 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action