TechDetail

Last Updated:  5/18/2024 7:05:42 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