TechDetail

Last Updated:  5/17/2024 5:21:28 AM

Technician Detail               
Name  MIKAYLA   BANGASSER 
Type  Technician 
Number 21197 
City  EDMOND, OK  73012 
Status CANCELED
Issue Date  12/17/2015 
Renewed Date 03/01/2016
Expire Date  02/28/2017 
End Date  03/31/2017 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action