TechDetail

Last Updated:  5/13/2024 7:05:45 PM

Technician Detail               
Name  ASHLEY V  MENDOZA 
Type  Technician 
Number 23814 
City  OWASSO, OK  74055 
Status CANCELED
Issue Date  03/14/2018 
Renewed Date 05/03/2018
Expire Date  05/31/2019 
End Date  07/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action