Last Updated: 5/9/2024 7:05:07 PM
Technician Detail| Name | MANDY MORTENSON |
| Type | Technician |
| Number | 2434 |
| City | OKLAHOMA CITY, OK 73159 |
| Status | CANCELED |
| Issue Date | 02/05/1997 |
| Renewed Date | 08/16/2012 |
| Expire Date | 12/31/2012 |
| End Date | 01/31/2013 |
|
Immunization? |
No |
Disciplinary
Action
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| Case Date | Case Number |
| No Disciplinary Action | |
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