TechDetail

Last Updated:  5/11/2024 7:05:18 PM

Technician Detail               
Name  HELEN MARISSA  BEVILACQUA 
Type  Technician 
Number 23868 
City  WILBURTON, OK  74578 
Status License in Good Standing
Issue Date  04/05/2018 
Renewed Date 04/05/2024
Expire Date  03/31/2025 
End Date   

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action