TechDetail

Last Updated:  5/2/2024 5:21:58 AM

Technician Detail               
Name  SHAHAB   KHOSHNOUDI 
Type  Technician 
Number 21123 
City  OKLAHOMA CITY, OK  73114 
Status CANCELED
Issue Date  11/19/2015 
Renewed Date 06/15/2016
Expire Date  06/30/2017 
End Date  07/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action