TechDetail

Last Updated:  5/1/2024 7:05:48 PM

Technician Detail               
Name  DIANA R  MERCADO 
Type  Technician 
Number 23473 
City  BETHANY, OK  73008 
Status CANCELED
Issue Date  11/07/2017 
Renewed Date 11/09/2017
Expire Date  07/31/2018 
End Date  08/31/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action