TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  KASSEM IBRAHIM  EL-SAMAD 
Type  Technician 
Number 23381 
City  EDMOND, OK  73012 
Status CANCELED
Issue Date  09/29/2017 
Renewed Date 08/31/2019
Expire Date  08/31/2020 
End Date  10/01/2020 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action