TechDetail

Last Updated:  5/5/2024 7:06:14 PM

Technician Detail               
Name  SANNAM   SALARVANDI 
Type  Technician 
Number 23409 
City  EDMOND, OK  73003 
Status CANCELED
Issue Date  10/18/2017 
Renewed Date 06/29/2021
Expire Date  07/31/2022 
End Date  09/01/2022 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action