Last Updated: 4/25/2024 7:07:13 PM
Technician Detail| Name | KASTAN IVORY MANUEL |
| Type | Technician |
| Number | 22510 |
| City | EDMOND, OK 73132 |
| Status | CANCELED |
| Issue Date | 12/22/2016 |
| Renewed Date | 12/23/2016 |
| Expire Date | 12/31/2017 |
| End Date | 01/31/2018 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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