TechDetail

Last Updated:  5/15/2024 5:21:32 AM

Technician Detail               
Name  DENA   RUSSELL 
Type  Technician 
Number 21411 
City  OKLAHOMA CITY, OK  73169 
Status CANCELED
Issue Date  02/11/2016 
Renewed Date 07/14/2023
Expire Date  01/31/2024 
End Date  03/04/2024 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action