TechDetail

Last Updated:  5/20/2024 5:21:57 AM

Technician Detail               
Name  VANTASIA L  MATHIS 
Type  Technician 
Number 24078 
City  OKLAHOMA CITY, OK  73118 
Status CANCELED
Issue Date  06/12/2018 
Renewed Date 06/14/2018
Expire Date  09/30/2018 
End Date  10/30/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action